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.
Defines goals and objectives for subordinates.
Assigns tasks to create learning opportunities for the employees.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to make decisions quickly.
Seeks input from key people who should be involved in, or will be affected by, decisions
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Asks for additional information when making critical decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to produce the highest quality work products.
Holds employees accountable for their quality of work.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages others to achieve high quality standards.
Corrects issues in a timely manner.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not become distracted by non-issues or interruptions.
Helps others when free-time is available.
Directs team in prioritizing daily work activities
Explains the "whys" behind organizational objectives
Works toward achievement of goals even when confronted with obstacles.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a role model for others
Demonstrates willingness to work with others.
Provides constructive feedback in a way that fosters acceptance and development.
Anticipates the concerns of other employees.
Comes across as credible, knowledgeable and sincere
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is proactive and takes steps to prepare for changes in the workplace.
Recognizes and implements changes to enhance efficiency and effectiveness.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Learns from personal experiences and/or mistakes.
Develops insights and applies innovative solutions to projects and problems.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand and identify with the team's mission.
Sets appropriate goals for employees.
Functions well under stress, deadlines, and/or significant workloads.
Helps guide employees with prioritizing tasks.
Stays focused even when under pressure and stress.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes the work of others.
Addresses grievances sooner rather than later.
Is consistent in disciplinary/corrective actions.
Examines the most effective ways for accomplishing goals.
Provides employees with necessary resources to accomplish their goals.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Distributes the workload to subordinates.
Provides support and resources needed to accomplish goals.
Encourages others to obtain necessary skills and training.
Sets clear goals for others to accomplish.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes and respects the contributions and needs of each individual.
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Encourages open communication
Provides assistance and support to other team members when needed
Facilitates team discussions and problem-solving

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.