Delegation - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Delegation	Agree	Unsure	Disagree	N/A
Allows employees to decide how they wish to complete the tasks.
Clearly defines duties and tasks to be completed.
Sets clear and reasonable expectations for others and follows through on their progress.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
Allows subordinates to use their own methods and procedures.
Time Management	Agree	Unsure	Disagree	N/A
Emphasizes punctuality in the department and makes sure employees know they are expected to be on time.
Uses agendas when chairing or facilitating meetings.
Uses a journal, log, or schedule to keep track of how much time is spent doing each task.
Able to keep to the project schedule.
Makes time for developing plans and schedules.
Objectives	Agree	Unsure	Disagree	N/A
Effectively organizes resources and plans
Consistently provides me with timely feedback for improving my performance.
Encourages me to take on greater responsibility.
Assures [Company] principles are understood, employed & pursued.
Able to organize work.
Flexibility	Agree	Unsure	Disagree	N/A
Encourages a culture of experimentation and innovation.
Introduces new products or services.
Flexible in adjusting to the demands of the market place.
Can seamlessly transition between various environments and situations.
Supports a culture that values flexibility, continuous improvement and innovation.
Bias for Action	Agree	Unsure	Disagree	N/A
Seeks and utilizes opportunities for continuous learning and self-development.
Identifies ways to simplify work processes and reduce cycle times
Completes a large volume of work.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Motivates others to achieve or exceed goals
Continual Learning	Agree	Unsure	Disagree	N/A
Improves on their skill sets.
Pursues learning that will enhance job performance.
Seeks opportunities to grow in skills and knowledge.
Is open to new ideas and concepts.
Builds on their strengths while addressing their weaknesses.
Feedback	Agree	Unsure	Disagree	N/A
Is visible and approachable.
Accepts the views of others.
Seeks feedback to enhance performance.
Looks to others for input.
Is easy to approach with ideas and opinions.
Client Focus	Agree	Unsure	Disagree	N/A
Manages client accounts with high degree of competence.
Anticipates client needs.
Is aware of expectations from clients.
Provides a high level of service to clients.
Anticipates problems that the client may encounter.
Customer Focus	Agree	Unsure	Disagree	N/A
Is available to respond to customer needs.
Follows up with any unanswered questions from the customer.
Engages with customers on multiple levels.
Prioritizes the needs and preferences of the customer.
Provides a high level of service to customers.
Partnering/Networking	Agree	Unsure	Disagree	N/A
Optimizes processes by leveraging each function's strength.
Hosts forums, colloquiums, and seminars to share information and ideas.
Shares resources, technology, facilities, or intellectual property to benefit both partners.
Encourages colleagues to participate in networking opportunities.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.