Delegation - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

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Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes tasks based on urgency, impact, and alignment with organizational goals.
Offers tools, training, and any additional guidance as needed.
Communicates the purpose and context of delegated tasks to ensure shared understanding.
Lets employees know the importance of the tasks being delegated to them.
Determines each employee's readiness for new challenges based on past performance.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Regularly evaluates information before making important decisions.
Views the long and short-term impact of decisions.
Open to the suggestions from subordinates.
Invites input from peers or stakeholders to understand the impact and improve decision-making processes.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops specific quality standards/goals to be met within a specified timeframe.
Committed to the improvement of the quality of services and products.
Adopts and implements best practices when it comes to quality procedures.
Recognizes their role in promoting quality and safety in the workplace.
Consistently provides timely, accurate, and reliable information on quality measures.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Persists in seeking objectives despite obstacles or setbacks.
Completes all required coursework.
Takes responsibility for outcomes rather than deflecting blame when challenges arise.
Completes urgent tasks first.
Has a work ethic with a strong desire to obtain results.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects other members of the team/department.
Able to work with individuals at all levels of the Company.
Offers constructive criticism to have a positive impact on performance.
Provides constructive feedback in a way that fosters acceptance and development.
Strives for win/win solutions
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts to new work processes and procedures.
Accommodates changes as needed.
Integrates information from a variety of sources to develop new and creative solutions.
Adjusts strategy when new information is presented.
Embraces change and fosters an open-minded environment.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures that each team member is assigned some part of the project.
Sets the focus on improving the organization's products and services.
Maintains self-control when personally criticized.
Identifies the tasks or goals that have the biggest impact.
Shifts priorities or resources to address unexpected changes to the situation while keeping the team informed and motivated.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assesses employee performance against defined standards.
Ensures employees understand performance standards/requirements.
Rewards individuals who show imagination in developing creative solutions to problems.
Establishes measures of performance.
Establishes standards for expected performance.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows employees to make their own decisions.
Creates a culture where employees are recognized and rewarded for taking the initiative and making impactful choices.
Provides support and resources needed to accomplish goals.
Allows employees to participate in the workload of the department.
Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps the team exercise good judgment by making sound and informed decisions.
Gives constructive advice to other team members.
Makes decisions that support the team's goals and objectives.
Is able to accurately paraphrase and summarize what other team members have said.
Creates a climate that encourages team participation.

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

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

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.