Delegation - 360 Degree Feedback Survey Sample #5

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Tells subordinates what to do, not how to do it.
Sets clear and reasonable expectations for others and follows through on their progress.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds opportunities to recognize others.
Lets employees know when they have done well
Compliments other people when they do good work
Recognizes the abilities and skills of self and others
Makes people around them feel appreciated and valued.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands their role within the organization.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Looks for opportunities to enhance contributions to the bottom line.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to adapt the department to changing business demands and climate.
Encourages risk taking for developing potential business opportunities.
Excellent at managing relationships with stakeholders.
Has a strategic awareness on how to promote the organization.
Exhibits determination and passion in completion of goals.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates role to team members to accomplish goals.
Works in an organized manner
Anticipates obstacles and ways to overcome them.
Able to identify the needs of the department before a major change.
Makes plans and follows through.

35. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for 's assessment.