Delegation - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. 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 our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment 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 and . 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
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Allows subordinates to use their own methods and procedures.
Sets clear and reasonable expectations for others and follows through on their progress.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Effectively organizes resources and plans
...Produce Quality
Sets a high standard for job performance.
Effective in performing his/her job.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates a consistent process for prioritizing work.
Is someone you can trust.
Takes ownership of mistakes and learns from them.
Takes responsibility for results.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates sincerity in actions with others.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Accepts responsibility for mistakes.
Demonstrates honesty and truthfulness at all times.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates through personal behavior the commitment to high standards of performance.
Holds self and associates accountable for goal achievement.
Is motivated by the desire to be "the best".
Persists until goals are achieved and commitments are met.
Critiques own performance and learns from experience as a source of continuous improvement.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to express own goals and needs.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes reports on-time.
Has strong technical/computer skills.
Enthusiastic about taking on challenging projects.
Accurately implements contract provisions.
Takes responsibility for decisions.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to solve problems.
Effective in solving problems.
Ability to solve problems at root cause rather than at symptom level.
Solves problems using logic and insight.
Able to balance the needs of different people in a solution to a problem.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Deals effectively with employee grievances.
Clearly expresses expectations to others.
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Tries to understand others' point of view before making judgments
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Excellent at managing relationships with stakeholders.
Able to adapt the department to changing business demands and climate.
Has a strategic awareness on how to promote the organization.
Finds unique ways to go around barriers to success.
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: