Technology Use/Management - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
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Technology Use/Management

Definite Strength Meets Standards Needs Development N/A
  1. Adopts the implementation of new technology into the workplace.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Maximizes the use of new technology to deliver products and services.
  1. Proficient in the use of technical systems and processes.
  1. Supports technical training and development of employees.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Listens to others' points of view with an open mind
  1. Addresses issues of key importance to stakeholders.
  1. Deals with difficult situations calmly and confidently.
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. An effective listener who is responsive to information needs.


Definite Strength Meets Standards Needs Development N/A
  1. Able to adapt to new situations.
  1. Implements changes as a result of having listened to employees
  1. Encourages others to adopt new procedures.
  1. Can handle changes without complaining.
  1. Acts decisively in frequently changing and uncertain environment.

Bias for Action

Definite Strength Meets Standards Needs Development N/A
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Displays high energy and enthusiasm on consistent basis.
  1. Motivates others to achieve or exceed goals
  1. Identifies ways to simplify work processes and reduce cycle times

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Is able to manage their own emotions.
  1. Is able to express themselves clearly.
  1. Able to understand others' points of view.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Ensures team members understand the department goals.
  1. Plans and sets work expectations.
  1. Provides employees with training as needed to increase their performance.
  1. Ensures team members receive rewards for positive performance accomplishments.
  1. Measures performance of goals and objectives.

Administrative Skill

Definite Strength Meets Standards Needs Development N/A
  1. Enthusiastic about taking on challenging projects.
  1. High attention to detail.
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.
  1. Implements and uses performance measures.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Leaves time in the schedule for unplanned contingencies.
  1. Does not procrastinate.
  1. Deals effectively with interruptions.
  1. Completes tasks ahead of schedule.
  1. Completes high-priority work within required timelines.

Empowering Others

Definite Strength Meets Standards Needs Development N/A
  1. Allows employees to make their own decisions.
  1. Encourages others to obtain necessary skills and training.
  1. Is aware of the skill levels of others.
  1. Is confident in the abilities of employees assigned important tasks.
  1. Encourages employees to solve problems on their own.


Definite Strength Meets Standards Needs Development N/A
  1. Includes others in the decision making processes.
  1. Constructively receives criticism and suggestions from others.
  1. Forms working relationships with employees from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Consistently demonstrates ability and willingness to trust others.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.