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
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Defines goals and objectives for subordinates.
Clearly defines duties and tasks to be completed.
Entrusts subordinates with important tasks.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets a high standard for job performance.
Works effectively in the department.
...Produce Quality
Shown significant improvement in job performance.
Listens and responds to issues and problems
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds team accountable to meeting goals.
Acts like an owner when they make decisions.
Creates a consistent process for prioritizing work.
Develops goals and establishes objective measures of success.
Accepts accountability for their actions and results.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops trust and confidence from others.
Maintains strong relationships with others.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Fosters an environment built upon trust.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Actively seeks to learn by asking questions and listening to all store associates.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Constantly enhances product knowledge through experimentation and play.
Demonstrates through personal behavior the commitment to high standards of performance.
Is motivated by the desire to be "the best".
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to develop, justify and present a budget.
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Has strong technical/computer skills.
Completes reports on-time.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to balance the needs of different people in a solution to a problem.
Effective in solving problems.
Ability to develop innovative solutions to problems.
Works cooperatively with others to solve problems.
Identifies and assesses all potential responses to a problem.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Assists team members by helping them see the other point of view.
Clearly expresses expectations to others.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
Encourages dynamic growth opportunities.
Able to adapt the department to changing business demands and climate.
Devotes a certain amount of time and effort to developing new business opportunities.

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: