Technology Use/Management - 360 Degree Feedback Survey Sample #10

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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Technology Use/Management

  • Adopts the implementation of new technology into the workplace.
  • Proficient in the use of technical systems and processes.
  • Maximizes the use of new technology to deliver products and services.
  • Understands and is committed to implementing new technologies.
  • Supports employee training and development initiatives regarding implementation of technology.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?


  • Flexible and open to new ideas and encourages others to value change.
  • Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  • Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  • Develops insights and applies innovative solutions to projects and problems.
  • Able to quickly learn new ways of performing their job.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?


  • Shares past experiences with others as learning opportunities.
  • Open to the suggestions of others.
  • Is easy to approach with ideas and opinions.
  • Looks to others for input.
  • Actively seeks feedback from others.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Client Focus

  • Forms strong client relationships
  • Maintains strong relationships with clients.
  • Is pro-active in dealing with clients and addressing their needs.
  • Satisfies client needs.
  • Looks for opportunities that have a positive impact on Clients.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?


  • Excellent at managing relationships with stakeholders.
  • Exhibits determination and passion in completion of goals.
  • Encourages dynamic growth opportunities.
  • Finds unique ways to go around barriers to success.
  • Encourages risk taking for developing potential business opportunities.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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