Delegation - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is 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 '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.

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
Clearly defines duties and tasks to be completed.
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.
Defines the roles, responsibilities, required actions, and deadlines for team members.
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
Is planful and organized.
Takes a lot of pride in their work.
Demonstrates the functional or technical skills necessary to do their job.
Keeps themselves and others focused on constant improvement.
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.
Takes care to maintain confidential information.
Consistently keeps commitments.
Demonstrates a sense of responsibility and commitment to public trust.
Works in a way that makes others want to work with her/him.
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
Accepts the views of others.
Considers other's opinion and suggestions.
Looks to others for input.
Seeks feedback to enhance performance.
Open to the suggestions of others.
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
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
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
Anticipates obstacles and ways to overcome them.
Creates effective logistics plans to achieve high operational efficiency.
Assigns the right tasks to the right people and holds them accountable.
Allows input from others for the 5-year plan.
Creates a timeline for events and monitors progress.
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.