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
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Uses technology in decision making and problem solving.
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
Is a person you can trust.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Takes ownership, delivers on commitments
Demonstrates congruence between statements and actions.
Demonstrates a sense of responsibility and commitment to public trust.
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.
Uses patience and self-control in working with customers and associates.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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
Enables employees to take on more challenging roles.
Motivates and encourages employees to be successful in their jobs.
Assigns important tasks to subordinates.
Allows for flexibility in the working hours.
Sets clear goals for others to accomplish.
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
Able to listen and understand others and discuss issues in a respectful way.
Analyzes global issues/problems that are having a large impact on the Company.
Understands how cultures differ and how these differences impact work behavior.
Cooperates with others on a global scale.
Considers customers point of view when making decisions.
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.