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.

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. Assigns tasks to create learning opportunities for the employees.
  1. Tells subordinates what to do, not how to do it.
  1. Entrusts subordinates with important tasks.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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 messages with personal energy, enthusiasm, and conviction.
  1. Ready to offer feedback, even if it involves tough critiques.
  1. Willing to express their concerns to colleagues.
  1. Produces written content that is both succinct and orderly.
  1. Able to deliver presentations.
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 ambitious when working on the project.
  1. Is the first to volunteer for assignments.
  1. Does not procrastinate when there is a job to be done.
  1. Works across organizational lines and boundaries to attain goals.
  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
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Accepts the views of others.
  1. Seeks feedback to enhance performance.
  1. Open to the suggestions of others.
  1. Considers other's opinion and suggestions.
  1. Looks to others for input.
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. Generates alternative solutions to problems and challenges.
  1. Solves problems using logic and insight.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Understands the root causes of problems.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
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. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Understands and is committed to implementing new technologies.
  1. Supports employee training and development initiatives regarding implementation of technology.
  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. Aligns the department's goals with the goals of the organization.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Maintains self-control when personally criticized.
  1. Excellent at managing time.
  1. Stays focused even when under pressure and stress.
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. Meets with clients on a regular basis.
  1. Regularly receives positive feedback from clients.
  1. Responds to feedback from clients.
  1. Is consistent in services provided to clients.
  1. Is committed to the success of the client.
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. Adapts to changes proposed by the customer.
  1. Ensures customers are comfortable with the services provided.
  1. Responsive to customer needs.
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Exhibits a positive attitude even when dealing with difficult customers.
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. Develops the skills and capabilities of others.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Conducts regular performance appraisals and feedback.
  1. Helps employees to maintain high personal standards.
  1. Addresses employee behavior problems effectively.
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.