Technology Use/Management - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Redefines technology use metrics and governance.
Evaluates team capacity to absorb new technology work (such as testing, piloting, data cleanup, or system transitions) and adjusts assignments to prevent overload during digital change.
Leverages internal and external expertise (such as cross-functional partners, vendors, or consultants) to support complex technology needs.
Understands and is committed to implementing new technologies.
Promotes transparent communication about upcoming technology changes.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Acts with integrity, even when no one is watching.
Builds trust by taking swift, appropriate action when employees encounter challenges.
Earns confidence from others by keeping commitments.
Communicates openly about decisions, challenges, and outcomes.
Responds quickly to customer issues to maintain trust in the brand.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Empowering Others	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works with employees to define success criteria that are measurable, realistic, and within their control.
Helps employees prioritize goals when workload or competing demands create ambiguity.
Allows the employees to have flexible work schedules.
Identifies and sponsors employees for high-visibility assignments or leadership opportunities.
Demonstrates confidence in the abilities of subordinates.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?
Global Perspective	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is able to work with individuals having different backgrounds and cultures.
Facilitates open communication with individuals from other countries.
Evaluates potential global partners not only for capability but for cultural compatibility, ethical alignment, and ability to contribute value.
Tracks service quality, productivity, and cost savings for overseas locations.
Cooperates with others on a global scale.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

21. Strengths
    
    
    
22. Areas for Development
    
    
    
23. Please give any final comments or suggestions for [Participant Name Here]'s assessment.