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Delegation - 360 Degree Feedback Survey Sample #3





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)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Delegation, Communication Skills, Action, Feedback, Problem Solving, Technology Use/Management, Establishing Focus/Direction, Client Focus, Customer Focus, Coaching
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Assigns tasks to create learning opportunities for the employees.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Entrusts subordinates with important tasks.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
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Exhibits this
Competency
  1. Clarifies problems logically, simplifying complex matters into digestible parts.
  1. Faces the person when speaking or listening to engage in direct communication.
  1. An effective listener who is responsive to information needs.
  1. Accurately attends to/understands ideas which are exchanged.
  1. Transforms complicated ideas into simple ones.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Exhibits this
Competency
Always
Exhibits this
Competency
  1. Focuses on tasks without being distracted.
  1. Takes preemptive actions avoid obstacles or delays.
  1. Takes action to respond to dissatisfied customer.
  1. Acts immediately instead of waiting for someone else to solve the issue.
  1. Approves purchase requests in a timely manner.
Please feel free to provide any comments to help explain your answers?

Feedback

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Is easy to approach with ideas and opinions.
  1. Actively seeks feedback from others.
  1. Asks others for their ideas and opinions.
  1. Open to the suggestions of others.
  1. Seeks feedback to enhance performance.
Please feel free to provide any comments to help explain your answers?

Problem Solving

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Actively seeks the root cause of a problem.
  1. Solves difficult problems with ease.
  1. Effective problem-solver
  1. Ensures that team members have the necessary training and are informed about best practices and procedures.
  1. Identifies potential courses of action.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
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Competency
  1. Maximizes the use of new technology to deliver products and services.
  1. Supports technical training and development of employees.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Proficient in the use of technical systems and processes.
Please feel free to provide any comments to help explain your answers?

Establishing Focus/Direction

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Aligns the department's goals with the goals of the organization.
  1. Sets appropriate goals for employees.
  1. Excellent at managing time.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Makes sure that employees understand and identify with the team's mission.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Exhibits this
Competency
  1. Addresses client complaints immediately.
  1. Keeps the client informed of all progress.
  1. Understands the needs of the client.
  1. Provides a responsive service that meets the needs of clients.
  1. Is aware of expectations from clients.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Is available to respond to customer needs.
  1. Is honest in all communication with the customers.
  1. Is above average in addressing the needs of the customers.
  1. Provides a responsive service that meets the needs of customers.
  1. Maintains positive customer relationships.
Please feel free to provide any comments to help explain your answers?

Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Conducts regular performance appraisals and feedback.
  1. Provides clear, motivating, and constructive feedback.
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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