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

• Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
• Maximizes the use of new technology to deliver products and services.
• Supports employee training and development initiatives regarding implementation of technology.
• Understands and is committed to implementing new technologies.
• 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

• Motivates others to achieve or exceed goals
• Seeks and utilizes opportunities for continuous learning and self-development.
• Encourages risk taking and experimentation to improve performance
• Displays high energy and enthusiasm on consistent basis.
• Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).

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

Comments:

Cultural Awareness

• Seeks knowledge and information about other cultures.
• Participates in cultural training sessions/classes.
• Accepts individual differences.
• Understands what customs and etiquette are important for individuals from other cultures.
• Recognizes individual and cultural differences.

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

Comments:

Administrative Skill

• Accurately implements contract provisions.
• Takes responsibility for decisions.
• Completes reports on-time.
• Strong organizational skills to keep the workspace and department in order
• Implements and uses performance measures.

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

Comments:

Recognition

• Makes people around them feel appreciated and valued.
• Lets employees know when they have done well
• Recognizes the abilities and skills of self and others
• Finds opportunities to recognize others.
• Recognizes team members who offer a significant contribution to a project.

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.