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)
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.




Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Clearly defines duties and tasks to be completed.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Tells subordinates what to do, not how to do it.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Delivers well-prepared, informed, poised and succinct presentations.
  1. Delivers influential presentations.
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. Communicates effectively with colleagues and customers
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is proactive in developing solutions to problems.
  1. Effectively makes decisions
  1. Fixes problems when they occur.
  1. Prepares equipment at the start of the shift.
  1. Seeks new opportunities for advancement.
Please feel free to provide any comments to help explain your answers?

Feedback

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Open to the suggestions of others.
  1. Looks to others for input.
  1. Accepts the views of others.
  1. Is easy to approach with ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Generates alternative solutions to problems and challenges.
  1. Ability to develop innovative solutions to problems.
  1. Identifies and assesses all potential responses to a problem.
  1. Makes judgments based upon relevant information.
Please feel free to provide any comments to help explain your answers?

Technology Use/Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Understands and is committed to implementing new technologies.
  1. Uses technology in decision making and problem solving.
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
  1. Maximizes the use of new technology to deliver products and services.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Helps guide employees with prioritizing tasks.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Aligns the department's goals with the goals of the organization.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Identifies the core needs of the client.
  1. Obtains feedback to ensure client needs are being met.
  1. Is committed to resolving client issues in a positive way.
  1. Anticipates client needs.
  1. Sets an example for excellent client relations.
Please feel free to provide any comments to help explain your answers?

Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ensures customers are comfortable with the services provided.
  1. Has received good feedback from customers.
  1. Provides a responsive service that meets the needs of customers.
  1. Fulfills commitments made to customers.
  1. Identifies the most pressing needs of each customer.
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
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Provides clear, motivating, and constructive feedback.
  1. Addresses employee behavior problems effectively.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Conducts regular performance appraisals and feedback.
  1. Develops the skills and capabilities of others.
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.