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
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Allows subordinates to use their own methods and procedures.
Entrusts subordinates with important tasks.
Tells subordinates what to do, not how to do it.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
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.
Can be counted on to add value wherever they are involved.
Demonstrates the analytical skills to do their job.
Is planful and organized.
Takes a lot of pride in their 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
Takes ownership, delivers on commitments
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
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
Seeks feedback to enhance performance.
Accepts the views of others.
Asks others for their ideas and opinions.
Actively seeks feedback from others.
Looks to others for input.
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
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
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
Open to input from others into the plan for the project.
Prioritizes plans based on a cost/benefit analysis.
Initiates the planning process by defining the scope of the project.
Develops plans to ensure the smooth operation of the supply chain.
Closely follows the plan established for 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.