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
Allows subordinates to use their own methods and procedures.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Assigns tasks to create learning opportunities for the employees.
Defines goals and objectives for subordinates.
Tells subordinates what to do, not how to do it.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Carefully evaluates information before making an important decision.
Open to the suggestions from subordinates.
Has a good rapport other people which is helpful in making decisions on the team.
Is aware of the impact of decisions and informs others about potential outcomes.
Takes into account the impact decisions will have on others.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always strives to produce the highest quality work products.
Corrects issues in a timely manner.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Reflects on what is working and what could be improved.
Encourages employees to produce the best quality products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages a high-energy, fun work environment and coaches others on how to do the same
Works toward achievement of goals even when confronted with obstacles.
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Provides clear expectations for employees.
Does not become distracted by non-issues or interruptions.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Expresses appreciation of other's work.
Creates an atmosphere that supports the open expression of ideas
Demonstrates compassion and understanding of others.
Uses knowledge and charisma rather than position, power, or coercion to influence others
Effectively manages conflicts by dealing with them directly and immediately
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adjusts priorities to changing business goals.
Is flexible when dealing with changes.
Flexible and open to new ideas and encourages others to value change.
Works effectively with various personalities of team members.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets appropriate goals for employees.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Makes sure that employees understand and identify with the team's mission.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes standards for expected performance.
Ensures employees understand their performance expectations.
Routinely holds audits of performance on a weekly or monthly basis.
Ensures employees understand the goals of the organization/department.
Continuously measures performance and provides feedback to employees regularly.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows the employees to have flexible work schedules.
Provides support and resources needed to accomplish goals.
Gives employees input into the decision making process.
Lets employees make their own decisions.
Is aware of the skill levels of employees and assigns tasks that are at the appropriate skill level.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Fosters teamwork rather than individual competition
Effective team player
Actively and openly participates in group meetings.
Actively participates in the work of teams; seeks and listens to others' contributions
Contributes to and supports team decision-making process

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.