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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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
Entrusts subordinates with important tasks.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Defines goals and objectives for subordinates.
Allows subordinates to use their own methods and procedures.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Produces high quality work.
Takes a lot of pride in their work.
Co-worker Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes people around them feel appreciated and valued.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands & contributes to development of strategic goals.
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.
Communicates goals and objectives to employees.
Understands their role within the organization.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Excellent at managing relationships with stakeholders.
Maintains a high level of energy to respond to demands of the job.
Is comfortable operating in an environment of uncertainty.
Finds unique ways to go around barriers to success.
Able to adapt the department to changing business demands and climate.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates obstacles and ways to overcome them.
Makes plans and follows through.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Able to identify the needs of the department before a major change.

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.