Delegation - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Delegation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Avoids micromanaging the employee-trusts them to complete the task effectively.
Recognizes individual expertise to delegate tasks in a way that maximizes team performance and workflow efficiency.
Entrusts employees with tasks that reflect their core proficiencies, fostering accountability and confidence.
Aware of the resources needed to complete tasks.
Supplies necessary tools and guidance so delegated work drives meaningful contributions to team goals.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Produce Quality
Sets a high standard for job performance.
Effective in performing his/her job.
Able to organize work.
Has great overall performance
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds employees accountable through regular performance reviews.
Willing to answer for their own actions and performance.
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Expects employees to accept the consequences of their actions.
Makes sure the supervisor is always informed of any important events.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not withhold important information needed by others.
Develops codes of conduct to provide responses to ethical dilemmas that employees may faced.
Provides accurate and honest reporting that allows the company to provide a true representation of financial health, operational performance, and strategic goals.
Handles difficult interactions with grace to set a positive example for others, promoting a culture of respect and professionalism.
Works towards developing an environment built upon trust
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits willingness to upgrade skills through additional training and education.
Demonstrates a willingness to participate in continuing education courses.
Is committed to enhancing their own knowledge and skills.
Is open to feedback from others.
Demonstrates through personal behavior the commitment to high standards of performance.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits expertise in the matter and is able to convince others in the best course of action.
Reframes disagreements as a path to better understanding, clarity and trust.
Able to deliver extemporaneous speeches to influence employees.
Persuades others through effective argument, debate, and discussion.
Has the support of the team members.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Organizes documents in a visually appealing and consistent manner, following company standards or branding guidelines.
Provides high-level administrative support and assistance.
Maintains appropriate levels of supplies and re-orders supplies as needed.
Formats and produces a variety of business related documents/reports.
Has effective oral and written communication skills.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Compares analogous situations transferring insights to new situations.
Routinely checks and maintains equipment, systems, or processes to catch any signs of wear or inefficiency before they turn into bigger issues.
Is smooth and seamless in transitions between different ideas and approaches, avoiding getting stuck in one line of thinking.
Gathers information on the problem and each solution, covering costs, benefits, risks, feasibility, and business impact.
Implements effective solutions to critical problems.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works to meet the basic needs of each side in the conflict.
Avoids conflicts over minor issues.
Settles disputes with agreement from both parties.
Works with others as needed to facilitate resolution of conflicts.
Encourages both sides to make compromises to resolve the conflict.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a high level of energy to respond to demands of the job.
Balances risks and rewards when making decisions.
Can work effectively in an environment of uncertainty.
Has a strategic awareness on how to promote the organization.
Excellent at managing relationships with stakeholders.

51. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




52. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
53. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
54. What changes do you see [Company] making in order to raise the standards?
    
    
    
55. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
56. What do you like best about working for [Company]?
    
    
    
57. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: