Delegation - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

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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Thank you for your participation in the survey.

Management Team

Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets clear and reasonable expectations for others and follows through on their progress.
Allows subordinates to use their own methods and procedures.
Entrusts subordinates with important tasks.
Tells subordinates what to do, not how to do it.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Produces high quality work.
Is planful and organized.
Demonstrates the analytical skills to do their job.
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes immediate action on poor performance
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes people around them feel appreciated and valued.
Offers recognition in a timely manner.
Reinforces and rewards employees for accomplishing necessary goals.
Lets employees know when they have done well
Compliments other people when they do good work
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures that the department's goals are strategically aligned with the company's goals.
Focuses efforts on specific marketing strategies.
Pursues strategic alliances with valued partners.
Creates measures of performance and profitability to assess financial objectives.
Supports changes being recommended from senior management.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Finds unique ways to go around barriers to success.
Excellent at managing relationships with stakeholders.
Has a strategic awareness on how to promote the organization.
Encourages risk taking for developing potential business opportunities.
Can work effectively in an environment of uncertainty.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Reduces uncertainty in the department through clear planning and schedules.
Accurately estimates the duration of tasks.
Assesses the potential impact of changes to the strategic plan.
Determines staffing needs for the project/department.
Assesses the risks of various strategic plans.

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

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

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.