Delegation - 360 Degree Feedback Survey Sample #1

Instructions:

The 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.

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 and . 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
Tells subordinates what to do, not how to do it.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Allows subordinates to use their own methods and procedures.
If 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
Accurately implements contract provisions.
Implements and uses performance measures.
Completes reports on-time.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
If 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
Works cooperatively with others to implement changes.
Adopts changes to set and example for others to follow.
Effective in dealing with ambiguous and challenging situations.
Supports new initiatives for organizational changes to improve effectiveness.
Assists others in understanding changes to the organization.
If 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
Able to quickly learn new ways of performing their job.
Is proactive and takes steps to prepare for changes in the workplace.
Is flexible and open minded in dealing with others.
Recognizes and implements changes to enhance efficiency and effectiveness.
Able to work effectively with new people and new teams.
If 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
Regularly reviews project performance and goals.
Develops performance measures for various aspects of the project.
Responds quickly and appropriately to unforeseen problems.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Organizes work and sets priorities as needed.
If 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
Makes you feel enthusiastic about your work
Sets an example for others to follow
Delegate tasks effectively
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
If 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
Bounces back from daily crisis, disappointments and frustrations.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Plans and organizes continuously while performing all other responsibilities and activities.
If 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
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
If 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
Encourages employees to solve problems on their own.
Distributes the workload to subordinates.
Encourages others to obtain necessary skills and training.
Sets clear goals for others to accomplish.
Allows individuals to be responsible for their decisions.
If were to make improvements in Empowering Others, what are your suggestions for how he/she can improve this?

46. What are 's greatest strengths demonstrated this year?
    
    
    
47. What are 's areas for development?
    
    
    
48. Please give any final comments or suggestions for 's assessment.