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
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.
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Defines goals and objectives for subordinates.
Entrusts subordinates with important tasks.
Time Management	Definite Strength	Meets Standards	Needs Development	N/A
Able to keep to the project schedule.
Continues working on the most important tasks until they are completed.
Outperforms others in productivity through effective time management.
Completes high-priority work within required timelines.
Prioritizes tasks to identify immediate and long-term objectives.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
Holds employees accountable through regular performance reviews.
Takes full responsibility for unmet expectations and makes corrective actions immediately.
Upholds ethical standards even when no one is watching.
Accepts personal responsibility for not meeting expectations.
Takes responsibility for the direction of the team.
Continual Learning	Definite Strength	Meets Standards	Needs Development	N/A
Sets relevant learning objectives and goals.
Seeks opportunities to grow in skills and knowledge.
Views setbacks as opportunities to learn from.
Improves on their skill sets.
Pursues professional development opportunities when they arise.
Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Managing Performance	Definite Strength	Meets Standards	Needs Development	N/A
Recognizes employees who have courage in persevering against great odds and difficulties.
Establishes standards for expected performance.
Records production quotas on a daily basis.
Reviews job performance shortly after completion of tasks.
Increases responsibilities for high performing individuals.
Results Oriented	Definite Strength	Meets Standards	Needs Development	N/A
Is considered a high achiever.
Prioritizes goals to complete those in urgent need first.
Identifies what needs to be accomplished.
Determines the objectives for the project.
Sets benchmarks and milestones to measure progress toward the objectives.
Safety	Definite Strength	Meets Standards	Needs Development	N/A
Is aware of OSHA safety guidelines.
Encourages others to attend safety training.
Mitigates hazards and safety issues that arise.
Develops a sustainable safety culture.
Participates in safety training when offered.
Coaching	Definite Strength	Meets Standards	Needs Development	N/A
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.

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.