Delegation - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Delegation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Defines goals and objectives for subordinates.
Sets clear and reasonable expectations for others and follows through on their progress.
Allows employees to decide how they wish to complete the tasks.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Clearly defines duties and tasks to be completed.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Keeps themselves and others focused on constant improvement.
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Builds and maintains the trust of others.
Is a person you can trust.
Demonstrates congruence between statements and actions.
Consistently keeps commitments.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Shares past experiences with others as learning opportunities.
Looks to others for input.
Accepts the views of others.
Considers other's opinion and suggestions.
Is easy to approach with ideas and opinions.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets the appropriate sequence of tasks to efficiently achieve the goal.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Assigns the right tasks to the right people and holds them accountable.
Makes strategic and tactical decisions to guide the logistics process.
Develops a strategic plan to reduce costs in the department.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

31. Strengths
    
    
    
32. Areas for Development
    
    
    
33. Please give any final comments or suggestions for [Participant Name Here]'s assessment.