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.
Sets clear and reasonable expectations for others and follows through on their progress.
Allows employees to decide how they wish to complete the tasks.
Allows subordinates to use their own methods and procedures.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
...Overall Performance
Works well in this position.
Effective in performing his/her job.
Works effectively in the department.
...Produce Quality
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits a sense of ownership of outcomes and results.
Takes responsibility for the team's actions and results.
Upholds ethical standards even when no one is watching.
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Acknowledges errors and takes the steps necessary to rectify them.
Integrity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Accepts responsibility for mistakes.
Fosters an environment built upon trust.
Follows tasks to completion.
Fosters a high standard of ethics and integrity.
Maintains strong relationships with others.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes advantage of training opportunities when they arise.
Will participate in training classes even if offered outside of normal working hours.
Holds self and associates accountable for goal achievement.
Enjoys learning new skills and techniques.
Creates an environment that supports personal development and exploration.
Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops a good rapport with others.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
High attention to detail.
Implements and uses performance measures.
Accurately implements contract provisions.
Enthusiastic about taking on challenging projects.
Able to develop, justify and present a budget.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements effective solutions to critical problems.
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Finds creative ways to get things done with limited resources.
Generates alternative solutions to problems and challenges.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Identifies and takes steps to prevent potential confrontations.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Excellent at managing relationships with stakeholders.
Balances risks and rewards when making decisions.
Is comfortable operating in an environment of uncertainty.
Encourages risk taking for developing potential business opportunities.
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: