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Delegation - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

Questionnaires Measuring Delegation:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

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
  1. Defines goals and objectives for subordinates.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Entrusts subordinates with important tasks.
  1. Assigns tasks to create learning opportunities for the employees.


Excellence

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is planful and organized.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Produces high quality work.
  1. Keeps themselves and others focused on constant improvement.
  1. Can be counted on to add value wherever they are involved.


Co-worker Development

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Gives others development opportunities through project assignments and increased job responsibilities
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Works to identify root causes of performance problems
  1. Provides ongoing feedback to co-workers on their development progress


Recognition

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Reinforces and rewards employees for accomplishing necessary goals.
  1. Lets employees know when they have done well
  1. Recognizes team members who offer a significant contribution to a project.
  1. Recognizes the abilities and skills of self and others
  1. Recognizes individuals for a specific outstanding achievement.


Strategic Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to decline a poor strategy by proposing alternate strategies.
  1. Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
  1. Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
  1. Communicates goals and objectives to employees.
  1. Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.


Entrepreneurship

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Exhibits determination and passion in completion of goals.
  1. Able to adapt the department to changing business demands and climate.
  1. Excellent at managing relationships with stakeholders.
  1. Encourages dynamic growth opportunities.
  1. Finds unique ways to go around barriers to success.


Planning

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Works in an organized manner
  1. Able to look ahead (beyond the present) when addressing the work/needs of the department.
  1. Delegates role to team members to accomplish goals.
  1. Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
  1. Able to identify the needs of the department before a major change.



  1. Overall, please rate the effectiveness of [Participant Name Here].






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.