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

• Applies complex rules and regulations to maintain optimal system performance.
• Understands and is committed to implementing new technologies.
• Supports technical training and development of employees.
• Uses technology in decision making and problem solving.
• Adopts the implementation of new technology into the workplace.

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

Comments:

Bias for Action

• Displays high energy and enthusiasm on consistent basis.
• Encourages risk taking and experimentation to improve performance
• Completes work on time
• Coach others to foster an environment which can adapt quickly and willingly to rapid change.
• Completes a large volume of work.

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

Comments:

Cultural Awareness

• Is curious and willing to ask questions about the cultural differences in the workplace.
• Is aware of cultural differences in business etiquette.
• Communicates with others without the influence of racism.
• Is sensitive to the similarities and differences that exist between cultures.
• Effective in working with individuals with a variety of cultural backgrounds.

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

Comments:

Administrative Skill

• High attention to detail.
• Strong organizational skills to keep the workspace and department in order
• Has strong technical/computer skills.
• Takes responsibility for decisions.
• Enthusiastic about taking on challenging projects.

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
• Says "thank you" to show appreciation for work of others.
• Lets employees know when they have done well
• Compliments other people when they do good work
• Recognizes individuals for a specific outstanding achievement.

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.