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Delegation - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Delegation:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Delegation, Administrative Skill, Change Management, Adaptability, Project Management, Management, Juggling Multiple Responsibilities, Excellence, Empowering Others
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team
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Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Entrusts subordinates with important tasks.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Administrative Skill

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes responsibility for decisions.
  1. Has strong technical/computer skills.
  1. Enthusiastic about taking on challenging projects.
  1. Completes reports on-time.
  1. Accurately implements contract provisions.
If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Change Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports new initiatives for organizational changes to improve effectiveness.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Is an inspiration for others to accept the recent changes.
  1. Addresses organizational and departmental resistance to changes.
  1. Develops a strategy for implementing changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops insights and applies innovative solutions to projects and problems.
  1. Is proactive and takes steps to prepare for changes in the workplace.
  1. Able to step in and help co-workers when needed.
  1. Adjusts plans to meet new situations.
  1. Able to adjust to changes as needed.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Project Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Identifies the project time and budget constraints.
  1. Uses scheduling software to create and monitor the timeline.
  1. Communicates with all employees involved on the project.
  1. Creates a schedule for the different phases of the project.
  1. Engages with individuals internally and externally to support the implementation of the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes responsibility for things that go wrong
  1. Sets an example for others to follow
  1. Is ready to offer help
  1. Makes you feel enthusiastic about your work
  1. Keep staff informed about what is happening in the company
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Completes multiple tasks simultaneously.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Excellence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Demonstrates the analytical skills to do their job.
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
  1. Takes a lot of pride in their work.
  1. Keeps themselves and others focused on constant improvement.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

Empowering Others

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Listens to the ideas employees have for solving issues.
  1. Considers ideas from employees that may challenge traditional ways of doing the job.
  1. Encourages others to obtain necessary skills and training.
  1. Encourages employees to think outside the box.
  1. Acknowledges and appreciates employees for their proactive decision-making.
If [Participant Name] were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.