Technology Use/Management - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Technology Use/Management	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Coordinates with HR, IT, and leadership to align change activities across the organization.
Monitors technology usage to ensure compliance with security and access protocols.
Plans for the full lifecycle of technology resources (including maintenance, upgrades, and sustainability costs) to ensure long-term reliability and performance.
Quantifies the time savings, error reduction, or productivity gains resulting from new technologies and uses these insights to justify future investments.
Creates opportunities for staff to participate in technology pilots, evaluations, or design sessions.
Frames technology adoption as a strategic opportunity rather than a burden.
Prepares teams for transitions by outlining expected impacts on workflows, roles, and responsibilities.
Identifies long-term business opportunities that can be unlocked through emerging technologies.
Analyzes the feasibility, risks, and organizational readiness for adopting new technologies, including skills, processes, and cultural factors that influence successful implementation.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Builds a culture of trust and mutual respect where team members are encouraged to value each other's contributions.
Works to get buy-in of individuals based on common good of business.
Clarifies misunderstandings quickly to prevent confusion and keep collaborative work on track.
Creates an environment that encourages information sharing.
Seeks continuous improvement through the input from coworkers and staff.
Encourages team members to voice differing viewpoints and ensures those perspectives are heard and acknowledged.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Creates special access moments (such as lunch with senior leaders or participation in strategic discussions) to honor exceptional contributions.
Develops and maintains a standardized recognition process that outlines when, how, and for whom recognition activities occur throughout the year.
Implements formal and informal recognition practices within the department.
Implements a pilot program to test recognition initiatives before rolling them out to the general employee population.
Creates awards that promote or recognize core values of the company.
Includes employees in important communications/messages/teams as a form of recognition for doing good work.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Initiates the planning process by defining the scope of the project.
Determines what supplies/equipment will be needed for the job.
Develops strategic plans for ensuring competitiveness in the marketplace.
Creates effective project plans.
Anticipates obstacles and ways to overcome them.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Sets high expectations on results for themselves and their teams, constantly pushing for excellence.
Gets the team to initially complete small tasks to boost their confidence and motivation to take on bigger challenges.
Completes even the smallest of tasks to avoid causing any delay in the project.
Develops contingency plans for various scenarios, ensuring the team is prepared for different outcomes.
Completes work on time
Works across organizational lines and boundaries to attain goals.
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Respects others regardless of age, race, gender, nationality, or disability.
Develops skills and attitudes to bridge cultural differences.
Promotes continuous learning about customs, traditions, and workplace etiquette.
Publicly acknowledges cultural contributions and achievements in team settings.
Seeks knowledge and information about other cultures.
Aware of their own cultural views.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Administrative Skill	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Speaks clearly to be understood.
Has effective oral and written communication skills.
Tailors presentation style and content to the audience's level, needs, and expectations.
Maintains a clean, organized document workspace to prevent misplacement or loss.
Receives and welcomes visitors.
Follows organizational protocols for documenting calls, routing inquiries, and escalating urgent issues to the appropriate personnel.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

46. Strengths
    
    
    
47. Areas for Development
    
    
    
48. Please give any final comments or suggestions for [Participant Name Here]'s assessment.