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)
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


Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Assigns tasks to create learning opportunities for the employees.
  1. Clearly defines duties and tasks to be completed.
  1. Entrusts subordinates with important tasks.
  1. Defines goals and objectives for subordinates.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
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. High attention to detail.
  1. Has strong technical/computer skills.
  1. Strong organizational skills to keep the workspace and department in order
  1. Enthusiastic about taking on challenging projects.
  1. Takes responsibility for decisions.
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. Effective in implementing new organizational vision and values.
  1. Inspires others to accept changes.
  1. Develops plans for following through on the changes.
  1. Able to get department employees to accept new changes.
  1. Assists others in understanding changes to the organization.
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. Responsive to the needs of others.
  1. Is open to change and adjusts plans when needed.
  1. Adjusts to new plans and procedures.
  1. Able to step in and help co-workers when needed.
  1. Able to adapt to changes in technology and processes.
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. Changes the implementation of specific phases of the project to mitigate certain risks.
  1. Uses appropriate technology to efficiently communicate with team members.
  1. Assigns project roles to the team members.
  1. Decides what metrics should be used as milestones for the project.
  1. Accurately determines the number of engineers required for 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. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
  1. Delegate tasks effectively
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. Determines which tasks are critical and which tasks are optional.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  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. Is planful and organized.
  1. Produces high quality work.
  1. Takes a lot of pride in their work.
  1. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.
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. Fosters a sense of ownership and accountability for the process/product.
  1. Allows employees to take training to increase their skill levels so that they can be more independent.
  1. Gives employees the authority to act on their own.
  1. Empowers employees to structure their work hours to maximize their productivity.
  1. Encourages employees to solve problems on their own.
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.