Delegation - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Tells subordinates what to do, not how to do it.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Sets clear and reasonable expectations for others and follows through on their progress.
Allows subordinates to use their own methods and procedures.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks for additional information when making critical decisions.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Does not lose sight of the big picture when making decisions
Is able to make decisions quickly.
Exercises good judgment by making sound and informed decisions.
Quality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Corrects issues in a timely manner.
Results Oriented	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Does not become distracted by non-issues or interruptions.
Works toward achievement of goals even when confronted with obstacles.
Provides clear expectations for employees.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Values the opinions of others.
Adapts management style to meet the needs of the individual or situation.
Successfully resolves conflicts and grievances to a win-win solution.
Able to work with individuals at all levels of the Company.
Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible and open minded in dealing with others.
Able to quickly learn new ways of performing their job.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Flexible and open to new ideas and encourages others to value change.
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
Makes sure that employees understand and identify with the team's mission.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Stays focused even when under pressure and stress.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is consistent in disciplinary/corrective actions.
Sets specific and measurable goals for others and follows through to completion.
Examines the most effective ways for accomplishing goals.
Addresses grievances sooner rather than later.
Sets and maintains high standards for self and others.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages employees to solve problems on their own.
Provides support and resources needed to accomplish goals.
Sets clear goals for others to accomplish.
Avoids micromanaging their employees.
Distributes the workload to subordinates.
Teamwork	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Carries his/her share of the workload
Communicates a clear message that teamwork and collaboration are expected.
Coaches team members to work toward a common goal.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Comes across as a reliable, committed team member

51. Overall, please rate the effectiveness of .
    

    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 's assessment.