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
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.
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes good decisions for the department.
Understands how their decisions will affect others.
Weighs the pros and cons of decisions.
Regularly evaluates information before making important decisions.
Views the long and short-term impact of decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements appropriate training to maintain high quality standards.
Communicates with team members regarding best quality practices.
Quickly addresses changes in quality of the products.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Always strives to produce the highest quality work products.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes urgent tasks first.
Sets important goals for the department.
Persists in seeking objectives despite obstacles or setbacks.
Completes work on time.
Exceeds performance requirements.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Gives credit where credit is due.
A good listener who is attentive to others.
Effectively manages conflicts by dealing with them directly and immediately
Pays close attention to what is being communicated verbally and nonverbally.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Effective in working with different personnel of the team.
Accommodates changes as needed.
Responsive to the needs of others.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing time.
Maintains focus when handling several problems or tasks simultaneously.
Makes sure that employees understand and identify with the team's mission.
Helps guide employees with prioritizing tasks.
Aligns the department's goals with the goals of the organization.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets performance expectations that are clear, specific and concise.
Sets and maintains high standards for self and others.
Requires employees to participate in additional job training as part of a remediation program.
Uses existing performance frameworks to define measures of performance.
Revises the OKRs required for the position on a quarterly basis.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Trusts employees are able to complete assigned tasks.
Assigns tasks that allow employees to use their critical thinking skills.
Allows employees to participate in the workload of the department.
Gives employees the freedom to set their own schedule.
Motivates and encourages employees to be successful in their jobs.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens to other team members without interrupting them.
Finds opportunities to recognize and reward team members.
Fosters respect and understanding among team members
Facilitates effective decision-making practices to further develop the team.
Demonstrates a willingness to work with the team.

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.