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

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Technology Use/Management

• Collaborates with HR and IT to recruit or develop talent with specialized technical capabilities, ensuring the department can implement and maintain key systems.
• Anticipates staffing impacts of new technologies, such as automation or AI, and proactively plans for role shifts, reskilling, or redeployment.
• Analyzes existing workflows to identify inefficiencies that can be improved through technology.
• Applies complex rules and regulations to maintain optimal system performance.
• Frames technology as a lever for innovation, growth, and differentiation.

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

Comments:

Bias for Action

• Quickly responds to problems and issues.
• Delegates tasks and duties that need to be performed for completion of a project.
• Starts action with minimal input or direction.
• Is very proactive and takes on many responsibilities not directly assigned.
• Works well with others to achieve common goals and leveraging diverse skills and perspectives.

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

Comments:

Cultural Awareness

• Encourages a work environment where individual differences are valued.
• Actively listens to diverse viewpoints without judgment or dismissal.
• Effective in working with individuals with a variety of cultural backgrounds.
• Acknowledges their own biases in cultural interactions.
• Actively listens to other employees' stories about their culture.

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

Comments:

Administrative Skill

• Plans travel arrangements.
• Ensures proper passports, visas, or travel documents are in order and prepares any necessary documentation for travel.
• Handles difficult calls with courtesy and respect.
• Listens attentively to concerns and responds in a calm, solution-oriented manner.
• Proactively identifies and addresses the needs of colleagues, clients, or stakeholders to provide effective support.

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

Comments:

Recognition

• Celebrates work anniversaries, project completions, or personal growth achievements as they happen.
• Makes people around them feel appreciated and valued.
• Expresses genuine appreciation for the work of others.
• Recognizes employees that participate on important teams.
• Analyzes participation rates, recognition frequency, and distribution patterns to identify gaps, inequities, or under-recognized groups.

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.