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
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Entrusts subordinates with important tasks.
Defines goals and objectives for subordinates.
Tells subordinates what to do, not how to do it.
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
Examines relevant factors needed to make a decision.
Decides which short- and long-term goals should be created.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Understands how their decisions will affect others.
Determines the costs and potential benefits of decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to produce the best quality products.
Creates a culture of quality standards in the workplace.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Identifies strategies and their associated risks to improve quality.
Develops processes to enhance quality standards.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works hard despite obstacles that impede progress.
Keeps track of progress toward the results.
Inspires and motivates co-workers to be productive and energetic at work
Focuses on achieving important goals.
Creates measures of performance to track progress.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Respects other members of the team/department.
Uses tact, compassion, and sensitivity in interactions with others.
Strives to lead by example to demonstrate the value of interpersonal relationships.
Anticipates the concerns of other employees.
Successfully resolves conflicts and grievances to a win-win solution.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible when dealing with changes.
Adjusts priorities to the new Corporate mission.
Adjusts plans to meet new situations.
Able to respond to incidents without stopping the workflow.
Is open to new ideas and innovations.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand how their work relates to organizational goals.
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Functions well under stress, deadlines, and/or significant workloads.
Maintains self-control when personally criticized.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures employees are accountable for meeting OKRs.
Sets the Objectives and Key Results (OKRs) required for the position.
Ensures the eligibility of the proposed award recipient.
Holds employees accountable for meeting performance expectations.
Makes sure the team's goals are met.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to think outside the box.
Allows employees to take on more responsibilities.
Supports the decisions of others.
Trusts employees are able to complete assigned tasks.
Motivates and encourages employees to be successful in their jobs.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Facilitates effective decision-making practices to further develop the team.
Encourages collaboration with other departments.
Facilitates team discussions and problem-solving
Fosters respect and understanding among team members
Helps other team members to research solutions to a problem.

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.