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.
Tells subordinates what to do, not how to do it.
Allows subordinates to use their own methods and procedures.
Allows employees to decide how they wish to complete the 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
...Produce Quality
Has great overall performance
Listens and responds to issues and problems
...Overall Performance
Able to organize work.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Holds self and others accountable for meeting the deadline.
Sets clear expectations for performance.
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Exhibits a sense of ownership of the process.
Holds employees responsible if expectations are not met.
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.
Demonstrates honesty and truthfulness at all times.
Develops trust and confidence from others.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates an environment that supports personal development and exploration.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Inspires others to learn new things.
Demonstrates a willingness to participate in continuing education courses.
Takes advantage of training opportunities when they arise.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Understanding what others need.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements and uses performance measures.
Strong organizational skills to keep the workspace and department in order
High attention to detail.
Able to develop, justify and present a budget.
Accurately implements contract provisions.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Remains resilient and motivated when encountering challenges or setbacks.
Ensures that team members stay on track to implementing the solution and address any issues that arise.
Assesses the size and impact of the problem to better understand where resources may be needed.
Regularly assesses the situation and the effectiveness of solutions.
Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures that both parties work toward finding compromise.
Identifies areas of agreement and common ground to form basis of resolution.
Helps employees to think through alternative ways to resolve conflict situations.
Encourages both sides to make compromises to resolve the conflict.
Persuades others to accept ideas that may be difficult and uncomfortable.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands the processes and various stages of business development.
Can work effectively in an environment of uncertainty.
Excellent at managing relationships with stakeholders.
Balances risks and rewards when making decisions.
Seeks and utilizes mentors to help guide professional development.

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: