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

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Delegation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows subordinates to use their own methods and procedures.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates the analytical skills to do their job.
Is planful and organized.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Produces high quality work.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Compliments other people when they do good work
Offers recognition in a timely manner.
Is sincerely interested in the suggestions of co-workers
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Detects changes in the environment and updates the strategic plan to address new opportunities or threats.
Pursues strategic alliances with valued partners.
Develops a corporate strategy to establish business operations in different locations.
Creates innovative strategies.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is comfortable operating in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Devotes a certain amount of time and effort to developing new business opportunities.
Maintains a high level of energy to respond to demands of the job.
Excellent at managing relationships with stakeholders.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Efficiently manages deadlines.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Anticipates the impacts of strategic plans.
Accurately estimates the amount of materials/supplies needed for the project.
Establishes and monitors timeframes and timelines.

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.