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
Clearly defines duties and tasks to be completed.
Allows employees to decide how they wish to complete the tasks.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Tells subordinates what to do, not how to do it.
Allows subordinates to use their own methods and procedures.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in performing his/her job.
Sets a high standard for job performance.
Shown significant improvement in job performance.
Works effectively in the department.
Able to organize work.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes ownership of mistakes and learns from them.
Takes responsibility for results.
Develops goals and establishes objective measures of success.
Acts like an owner when they make decisions.
Holds team accountable to meeting goals.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Demonstrates sincerity in actions with others.
Fosters an environment built upon trust.
Demonstrates honesty and truthfulness at all times.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Will participate in training classes even if offered outside of normal working hours.
Stays up-to-date on emerging technologies.
Takes advantage of training opportunities when they arise.
Is committed to enhancing their own knowledge and skills.
Constantly enhances product knowledge through experimentation and play.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Completes reports on-time.
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
Implements and uses performance measures.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in solving problems.
Identifies and assesses all potential responses to a problem.
Makes judgments based upon relevant information.
Generates alternative solutions to problems and challenges.
Ability to develop innovative solutions to problems.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Deals effectively with employee grievances.
Helps employees to think through alternative ways to resolve conflict situations.
Assists team members by helping them see the other point of view.
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
Maintains a high level of energy to respond to demands of the job.
Can work effectively in an environment of uncertainty.
Understands the processes and various stages of business development.
Exhibits determination and passion in completion of goals.
Takes the initiative to complete tasks.

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: