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 .

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Delegation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Entrusts subordinates with important tasks.
Allows employees to decide how they wish to complete the tasks.
Assigns tasks to create learning opportunities for the employees.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Allows subordinates to use their own methods and procedures.
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
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.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
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
Delivers on promises made.
Consistently keeps commitments.
Demonstrates congruence between statements and actions.
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
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
Is easy to approach with ideas and opinions.
Accepts the views of others.
Seeks feedback to enhance performance.
Considers other's opinion and suggestions.
Asks others for their 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
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
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 ensure completion of the project.
Is able to clearly articulate the plan for the department/district.
Develops a detailed plan outlining tasks, resources, timelines, and deliverables.
Determines the allocation of funds based on plans for future development.
Develops plans to ensure the smooth operation of the supply chain.
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.