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Delegation - 360 Degree Feedback Survey Sample #2





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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Delegation, Decision Making, Supervisory Skills, Innovation, Creativity, Professional Development, Punctuality, Achievement, Clarity, Developing Others, Strategic Focus, Organizational Fluency
Sample Result Document:
Sample Results
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.

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

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You assign projects that expose employees to cross-functional collaboration or unfamiliar domains.
  1. You assess each employee's strengths and areas of expertise.
  1. I identify interdependencies between tasks are delegated strategically.
  1. I ensure that delegated tasks fit within a broader strategic plan.
What are your suggestions for how you can make improvements
in Delegation?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You ask for additional information when making critical decisions.
  1. I decide which short- and long-term goals should be created.
  1. You maintain focus on the "big picture" when making decisions.
  1. You connect unrelated concepts or data point to form innovative solutions that others may overlook.
What are your suggestions for how you can make improvements
in Decision Making?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You encourage employees to take responsibility for their mistakes.
  1. You maintain an even temper in stressful situations.
  1. You provide timely and thorough performance evaluations of employees.
  1. I contribute to a productive work environment for the team.
What are your suggestions for how you can make improvements
in Supervisory Skills?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create new and imaginative approaches to work-related issues.
  1. I encourage innovation from all levels of employees.
  1. You share innovative ideas with others.
  1. You focus on creating new value for our products/services.
What are your suggestions for how you can make improvements
in Innovation?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You reduce barriers to creativity and innovation.
  1. I imagine new products, services, or process before they're needed.
  1. You acknowledge both the good and the bad parts of newly create ideas/products.
  1. I tailor creative solutions to deliver meaningful outcomes for users, clients, or patients.
What are your suggestions for how you can make improvements
in Creativity?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You are contributing fully to the extent of your skills
  1. You seek opportunities for continuous learning.
  1. You encourage employees to take courses relevant to their job.
  1. You quickly acquire and apply new knowledge and skills when needed
What are your suggestions for how you can make improvements
in Professional Development?

Punctuality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You avoid making personal phone calls during working hours.
  1. You maintain an efficient schedule of activities.
  1. You respond to requests for information in a timely manner.
  1. You start meetings on time.
What are your suggestions for how you can make improvements
in Punctuality?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You complete work to a high technical standard
  1. I take decisive action on lagging projects to restore momentum and ensure completion.
  1. You set challenging goals for the department.
  1. You always set high standards for your work and the work of your colleagues.
What are your suggestions for how you can make improvements
in Achievement?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You clearly explains responsibilities to individuals.
  1. You provide a clear vision for the future.
  1. You maintain clarity in goals and objectives.
  1. You make sure goals and objectives are clearly and thoroughly explained and understood.
What are your suggestions for how you can make improvements
in Clarity?

Developing Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You recognize and celebrates accomplishments of others.
  1. You assign tasks and responsibilities to develop skills of others.
  1. You support the successes of other employees.
  1. You encourage employees through recognition of positive changes in behavior.
What are your suggestions for how you can make improvements
in Developing Others?

Strategic Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I identify strengths that competitors would have trouble imitating.
  1. I strategically position resources to meet the needs of branch locations.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
  1. I undertake a SWOT analysis to determine the best strategy to move forward.
What are your suggestions for how you can make improvements
in Strategic Focus?

Organizational Fluency

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You get things done through the department.
  1. You are able to use corporate politics to advance department objectives.
  1. You are able to explain departmental policies and procedures to others.
  1. You understand departmental policies and procedures.
What are your suggestions for how you can make improvements
in Organizational Fluency?


  1. Strengths


  2. Areas for Development


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