Technology Use/Management - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Technology Use/Management

What does Technology Use/Management mean?
It means that ...
  • You use technology in decision making and problem solving.
  • You support employee training and development initiatives regarding implementation of technology.
  • You adopt the implementation of new technology into the workplace.
  • You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  • You apply complex rules and regulations to maintain optimal system performance.

To what extent does this person exhibit Technology Use/Management?
Select from one of the ratings below.

Problem Solving

What does Problem Solving mean?
It means that ...
  • You are effective in solving problems.
  • You work cooperatively with others to solve problems.
  • You are able to solve problems at root cause rather than at symptom level.
  • You identify and assess all potential responses to a problem.
  • You are able to balance the needs of different people in a solution to a problem.

To what extent does this person exhibit Problem Solving?
Select from one of the ratings below.

Communication Skills

What does Communication Skills mean?
It means that ...
  • You deliver influential presentations.
  • You deliver well-prepared, informed, poised and succinct presentations.
  • You present issues, ideas, and strategy concisely and clearly.
  • You deal with difficult situations calmly and confidently.
  • You are able to deliver presentations.

To what extent does this person exhibit Communication Skills?
Select from one of the ratings below.

Establishing Focus/Direction

What does Establishing Focus/Direction mean?
It means that ...
  • You make sure that employees understand how their work relates to organizational goals.
  • You maintain focus when handling several problems or tasks simultaneously.
  • You function well under stress, deadlines, and/or significant workloads.
  • You maintain self-control when personally criticized.
  • You set appropriate goals for employees.

To what extent does this person exhibit Establishing Focus/Direction?
Select from one of the ratings below.


What does Regulatory/Compliance mean?
It means that ...
  • You understand the applicable regulations and laws that impact our business.
  • You maintain a state of readiness to address new and changing regulations and procedures.
  • You keep informed of various regulations and procedures.
  • You review skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  • You understand and adhere to internal and external regulations.

To what extent does this person exhibit Regulatory/Compliance?
Select from one of the ratings below.

Areas for Development

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