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)
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.

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.


Delegation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You entrust subordinates with important tasks.
  1. You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  1. You set clear and reasonable expectations for others and follow through on their progress.
  1. You clearly define duties and tasks to be completed.
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 effectively choose appropriate courses of action.
  1. You learn from previous bad decisions and rarely repeat them.
  1. You examine relevant factors needed to make a decision.
  1. You apply creative reasoning in making decisions.
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. I oversee the work of a group of employees.
  1. You provide useful and constructive feedback to employees.
  1. I empower employees to make their own decisions in the field.
  1. I instruct employees on the proper way to perform tasks.
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 search for opportunities and innovative ways to improve the organization.
  1. You challenge current procedures to develop other alternatives.
  1. You take risks to advance important ideas.
  1. You develop new products and 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 are creative and inspirational.
  1. You inspire creativity in your team.
  1. You develop solutions to challenging problems.
  1. You add value to the department/organization.
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 seek opportunities for professional development.
  1. You allow employees to fully participate in employee training and professional development.
  1. You seek opportunities for continuous learning.
  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 conduct appointments at scheduled start time.
  1. You respond to requests for information in a timely manner.
  1. You arrive to 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 allocate resources as needed to accomplish organizational goals.
  1. I set performance metrics to measure achievement or attainment of goals.
  1. I work to meet required benchmarks for the position.
  1. You set ambitious standards of performance.
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 are clear about goals that need to be achieved.
  1. You check details thoroughly.
  1. You clearly explains responsibilities to individuals.
  1. You adjust communication methods to the needs of the audience.
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 develop employees by offering and encouraging them to take on new or additional responsibilities.
  1. You assign tasks and responsibilities to develop skills of others.
  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 understand how to achieve strategic financial objectives.
  1. I develops strategies to effectively use company resources and exploit potential opportunities.
  1. You reinforce the strategic messaging in various teams, meetings, seminars and workshops.
  1. I develop a strategic focus on internal factors to improve efficiency or conserve limited resources.
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 are able to use corporate politics to advance department objectives.
  1. You are effective in communicating with others within the organization.
  1. You understand the current organizational culture.
  1. You get things done through the department.
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.