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
Sets expectations for communication and progress updates while respecting employees' working styles.
Matches responsibilities with the employee's ability to deliver high-quality results.
Promotes the understanding that delegation is done fairly, based on skills, interests, and professional growth--not favoritism or bias.
Does not micromanage employees.
Distributes the workload evenly to the team members.
Excellence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
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
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
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
Ensures that above average performance is followed up with recognition.
Understands the recognition program resource requirements.
Is fair when making any monetary awards.
Offers recognition that reflects the employee's strengths, dedication, and values.
Is mindful of diversity in contributions, recognizing not only visible successes but also behind-the-scenes work that supports the team.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Crafts and executes strategies to advance the company.
Strategically positions resources to meet the needs of branch locations.
Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
Focuses efforts on specific marketing strategies.
Creates a mission statement describing the purpose for the organization.
Entrepreneurship	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages dynamic growth opportunities.
Encourages risk taking for developing potential business opportunities.
Finds unique ways to go around barriers to success.
Takes the initiative to complete tasks.
Excellent at managing relationships with stakeholders.
Planning	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes plans and follows through.
Open to input from others into the plan for development of the strategic plan.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Makes strategic and tactical decisions to guide the logistics process.
Encourages others to follow the plan.

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.