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

Delegation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows subordinates to use their own methods and procedures.
Sets clear and reasonable expectations for others and follows through on their progress.
Clearly defines duties and tasks to be completed.
Allows employees to decide how they wish to complete the tasks.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Formulates imaginative decisions.
Decides which long-term goals should be met.
Determines the costs and potential benefits of decisions.
Applies creative reasoning in making decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages employees to produce the best quality products.
Corrects issues in a timely manner.
Encourages others to produce the highest quality work products.
Encourages others to achieve high quality standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes goals to complete those in urgent need first.
Determined to complete tasks regardless of obstacles that may occur.
Works hard despite obstacles that impede progress.
Responds to changing events to maintain progress toward achieving results.
Completed work exceeds standards.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Honesty and integrity are core tenets of interpersonal relationships.
Understands the core issues of conversations.
Demonstrates willingness to work with others.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Recognizes when others do a good job.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adjust to changes as needed.
Able to adjust to changing environments.
Adjusts plans to meet the needs of new constraints.
Adjusts priorities to changing business goals.
Responsive to the needs of others.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains focus when handling several problems or tasks simultaneously.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear and ambitious goals to be met.
Measures performance using standard production quotas.
Routinely holds audits of performance on a weekly or monthly basis.
Monitors progress to ensure performance goals are being met.
Provides additional responsibilities for employees that exceed performance standards.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers ideas from employees that may challenge traditional ways of doing the job.
Expresses confidence in the abilities of others.
Establishes goals that allow employees top operate independently in the field.
Allows employees to organize their schedule to best accomplish the job.
Recognizes the accomplishments of employees when they complete important assignments.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes good rapport with team members.
Creates opportunities to learn with other team members
Builds strong relationships with team members.
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Focuses on understanding the other team member's message.

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.