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

Instructions

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.



Please complete your response by .

Technology Use/Management	Agree	Unsure	Disagree	N/A
Supports employee training and development initiatives regarding implementation of technology.
Understands and is committed to implementing new technologies.
Uses technology in decision making and problem solving.
Adopts the implementation of new technology into the workplace.
Proficient in the use of technical systems and processes.
Passion To Learn	Agree	Unsure	Disagree	N/A
Constantly enhances product knowledge through experimentation and play.
Takes initiative for own learning and development.
Demonstrates a willingness to participate in continuing education courses.
Is committed to enhancing their own knowledge and skills.
Enjoys learning new skills and techniques.
Continual Learning	Agree	Unsure	Disagree	N/A
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Improves on their skill sets.
Views setbacks as opportunities to learn from.
Takes charge of their training and skills enhancement.
Continual Improvement	Agree	Unsure	Disagree	N/A
Promotes training and development opportunities to enhance job performance.
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Understanding what others need.
Goals	Agree	Unsure	Disagree	N/A
Achieves goals.
Establishes and documents goals and objectives.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
Understands & contributes to development of strategic goals.
Results Oriented	Agree	Unsure	Disagree	N/A
Completes all assigned tasks.
Sets priorities for tasks to be completed.
Makes sure employees have the resources they need to achieve their results.
Ensures the team understands the objective that needs to be completed.
Has a work ethic with a strong desire to obtain results.
Excellence	Agree	Unsure	Disagree	N/A
Demonstrates the analytical skills to do their job.
Is planful and organized.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Responsible	Agree	Unsure	Disagree	N/A
Behavior is ethical and honest.
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Sets high personal standards of performance.
Works in a way that makes others want to work with her/him.
Others	Agree	Unsure	Disagree	N/A
Works across boundaries within the organization.
Forms working relationships with employees from other departments.
Supports the efforts of other employees in implementing solutions to problems.
Includes others in the decision making processes.
Is able to see issues from others' perspectives.
Planning	Agree	Unsure	Disagree	N/A
Develops plans to help manage expectations and project demands.
Develops good plans used for logistics.
Determines what supplies/equipment will be needed for the department.
Anticipates the impacts of strategic plans.
Encourages others to follow the plan.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.