Technology Use/Management - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Technology Use/Management:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Technology Use/Management

Agree Unsure Disagree N/A
  1. Proficient in the use of technical systems and processes.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Adopts the implementation of new technology into the workplace.
  1. Applies complex rules and regulations to maintain optimal system performance.

Passion To Learn

Agree Unsure Disagree N/A
  1. Takes initiative for own learning and development.
  1. Constantly enhances product knowledge through experimentation and play.
  1. Is motivated by the desire to be "the best".
  1. Demonstrates through personal behavior the commitment to high standards of performance.
  1. Persists until goals are achieved and commitments are met.

Continual Learning

Agree Unsure Disagree N/A
  1. Shares best practices with others and learns from others.
  1. Pursues self-improvement through continual learning.
  1. Builds on their strengths while addressing their weaknesses.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Sets relevant learning objectives and goals.

Continual Improvement

Agree Unsure Disagree N/A
  1. Open to the suggestions from others.
  1. Looks for ways to improve work processes and procedures.
  1. Looks for ways to expand and learn new job skills.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to expand current job responsibilities.

Persuasion and Influence

Agree Unsure Disagree N/A
  1. Able to express own goals and needs.
  1. Ensures stakeholders are involved in the decision making process.
  1. Has excellent influencing/negotiating skills.
  1. Develops a good rapport with others.
  1. Persuades others to consider alternative points of view.


Agree Unsure Disagree N/A
  1. Establishes and documents goals and objectives.
  1. Achieves goals.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Understands & contributes to development of strategic goals.

Results Oriented

Agree Unsure Disagree N/A
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Does not become distracted by non-issues or interruptions.
  1. Stays focused on meeting the needs of customers.
  1. Explains the "whys" behind organizational objectives


Agree Unsure Disagree N/A
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Demonstrates the analytical skills to do their job.
  1. Is planful and organized.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.


Agree Unsure Disagree N/A
  1. Completes assigned work tasks.
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example.
  1. Holds herself / himself accountable to goals / objectives
  1. Acts as a resource without removing individual responsibility.


Agree Unsure Disagree N/A
  1. Works effectively with people from other departments.
  1. Works across boundaries within the organization.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Respects the opinions of other employees.
  1. Helpful


Agree Unsure Disagree N/A
  1. Works in an organized manner
  1. Able to identify the needs of the department before a major change.
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Delegates role to team members to accomplish goals.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.