Technology Use/Management - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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

• Supports employee training and development initiatives regarding implementation of technology.
• Applies complex rules and regulations to maintain optimal system performance.
• Uses technology in decision making and problem solving.
• Maximizes the use of new technology to deliver products and services.
• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Bias for Action

• Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
• Completes work on time
• Conveys a sense of urgency about addressing problems and opportunities
• Encourages risk taking and experimentation to improve performance
• Identifies ways to simplify work processes and reduce cycle times

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Cultural Awareness

• Is aware of the similarities and differences among and between cultural groups.
• Seeks clarification to avoid misunderstandings.
• Develops skills and attitudes to bridge cultural differences.
• Actively listens to other employees' stories about their culture.
• Communicates with others without the influence of racism.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Administrative Skill

• Takes responsibility for decisions.
• Accurately implements contract provisions.
• Has strong technical/computer skills.
• Implements and uses performance measures.
• Strong organizational skills to keep the workspace and department in order

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Recognition

• Recognizes the abilities and skills of self and others
• Finds opportunities to recognize others.
• Compliments other people when they do good work
• Makes people around them feel appreciated and valued.
• Lets employees know when they have done well

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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