Delegation - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Delegation	Definite Strength	Meets Standards	Needs Development	N/A
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Assigns tasks to create learning opportunities for the employees.
Clearly defines duties and tasks to be completed.
Allows subordinates to use their own methods and procedures.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Sets a good balance between work and family life.
Completes high-priority work within required timelines.
Makes time for developing plans and schedules.
Prioritizes tasks to identify immediate and long-term objectives.
Prioritizes new tasks according to their relative importance.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Takes ownership of mistakes and learns from them.
Accepts accountability for their actions and results.
Creates a consistent process for prioritizing work.
Defines roles, rights, and responsibilities of employees.
Is aware of problems or issues that may affect the organization.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Builds on their strengths while addressing their weaknesses.
Takes charge of their training and skills enhancement.
Participates in regular training offered.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Is attentive to emotional cues and interprets others' feelings correctly.
Accurately perceives the emotional reactions of others.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Sets specific and measurable goals for others and follows through to completion.
Reviews job performance shortly after completion of tasks.
Examines the most effective ways for accomplishing goals.
Creates clear standards that are understandable and fair.
Sets and maintains high standards for self and others.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
Helps others when free-time is available.
Does not become distracted by non-issues or interruptions.
Provides clear expectations for employees.
Stays focused on meeting the needs of customers.
Directs team in prioritizing daily work activities
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Points out behaviors in others that may be unsafe.
Seeks to reduce the likelihood of accidents.
Is aware of OSHA safety guidelines.
Develops a strong safety culture.
Commits adequate resources toward safety measures.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
Develops the skills and capabilities of others.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.

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

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

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.