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.

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.


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 encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
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 seek input from key people who should be involved in, or will be affected by, decisions
  1. You act confidently in the absence of guidance.
  1. I view issues from multiple perspectives before making a decision.
  1. I evaluate information before making a final decision.
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 maintain professional interactions with peers, customers, and employees.
  1. You provide constructive, ongoing feedback.
  1. I provide feedback referencing specific instances or examples of behaviors.
  1. I always remain calm and professional even in stressful situations.
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 encourage open communication to ensure that all proposals are considered.
  1. You foster a creative and innovative work environment.
  1. You analyze current procedures and identify opportunities for improvement.
  1. You create improved methods or solutions for meeting goals and objectives.
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 conceive, implement and evaluate ideas.
  1. You add value to the department/organization.
  1. You inspire creativity in your team.
  1. You create a lot of new ideas.
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 demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You keep yourself up-to-date of technical/professional issues
  1. You encourage employees to take courses relevant to their job.
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 start the workday when scheduled.
  1. You conduct appointments at scheduled start time.
  1. You start meetings on time.
  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 take immediate action of projects that fall behind schedule.
  1. You are able to reduce staff turnover.
  1. I can complete required training and certification.
  1. You make a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
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 are clear about goals that need to be achieved.
  1. You make sure goals and objectives are clearly and thoroughly explained and understood.
  1. You clearly explain the vision and goals of the company.
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 try to ensure employees are ready to move to the next level.
  1. You set performance objectives for subordinates that encourages development opportunities.
  1. You develop employees by offering and encouraging them to take on new or additional responsibilities.
  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. You create a SWOT matrix to help analyze data.
  1. You assign individuals the responsibility of keeping track of progress toward achieving milestones.
  1. You create a mission statement describing the purpose for the organization.
  1. I strategically position resources to meet the needs of branch locations.
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 understand departmental policies and procedures.
  1. You are able to explain departmental policies and procedures to others.
  1. You anticipate problems that may affect the department.
  1. You understand the current organizational culture.
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.