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.
• Adopts the implementation of new technology into the workplace.
• Proficient in the use of technical systems and processes.
• Uses technology in decision making and problem solving.

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

Comments:

Bias for Action

• Completes a large volume of work.
• Seeks and utilizes opportunities for continuous learning and self-development.
• 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.

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

Comments:

Cultural Awareness

• Open to learning about different cultures.
• Understands the impact that our culture may have on interactions between individuals.
• Understands how implicit biases can affect decisions, communication and productivity.
• Functions effectively within various cultural contexts.
• Seeks knowledge and information about other cultures.

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

Comments:

Administrative Skill

• Strong organizational skills to keep the workspace and department in order
• Completes reports on-time.
• Able to develop, justify and present a budget.
• High attention to detail.
• Accurately implements contract provisions.

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

Comments:

Recognition

• Finds opportunities to recognize others.
• Is sincerely interested in the suggestions of co-workers
• Lets employees know when they have done well
• Readily shares credit and gives others opportunity for visibility.
• Says "thank you" to show appreciation for work of others.

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.