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

360 Feedback Survey

Instructions

is 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 '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.

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 .

Technology Use/Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Uses technology in decision making and problem solving.
Understands and is committed to implementing new technologies.
Supports employee training and development initiatives regarding implementation of technology.
Supports technical training and development of employees.
Adopts the implementation of new technology into the workplace.
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
Builds and maintains the trust of others.
Is trustworthy; is someone I can trust.
Works in a way that makes others want to work with her/him.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
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
Analyzes interpersonal problems instead of reacting to them.
Consciously controls own negative emotions in order to keep team morale up.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Steps away from a situation to process appropriate response.
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
Supports the decisions of others.
Provides support and resources needed to accomplish goals.
Gives employees input into the decision making process.
Set clear goals for assignments.
Allows employees to make their own decisions.
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
Works well with others from different cultural backgrounds.
Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
Is able to work with individuals having different backgrounds and cultures.
Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
Sets the example for team on importance of cultural awareness.
If [Participant Name] were to make improvements in Global Perspective, what are your suggestions for how he/she can improve this?

26. Strengths
    
    
    
27. Areas for Development
    
    
    
28. Please give any final comments or suggestions for [Participant Name Here]'s assessment.