Delegation - 360 Degree Feedback Survey Sample #9

Questionnaires Measuring Delegation:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)

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.

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Definite Strength Meets Standards Needs Development N/A
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Allows subordinates to use their own methods and procedures.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.

Time Management

Definite Strength Meets Standards Needs Development N/A
  1. Prioritizes new tasks according to their relative importance.
  1. Avoids distractions in the workplace.
  1. Sets clearly defined goals.
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Focuses on tasks that have high priority.


Definite Strength Meets Standards Needs Development N/A
  1. Creates a consistent process for prioritizing work.
  1. Develops goals and establishes objective measures of success.
  1. Defines roles, rights, and responsibilities of employees.
  1. Implements and facilitates controls and processes that maintain the integrity of the organization.
  1. Tackles issues head on and finds solutions.

Continual Learning

Definite Strength Meets Standards Needs Development N/A
  1. Builds on their strengths while addressing their weaknesses.
  1. Shares best practices with others and learns from others.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Pursues self-improvement through continual learning.
  1. Sets relevant learning objectives and goals.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Is able to control their own emotions.
  1. Is able to manage their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Able to understand others' points of view.

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Reviews job performance shortly after completion of tasks.
  1. Uses timely and appropriate corrective/disciplinary actions.
  1. Examines the most effective ways for accomplishing goals.
  1. Recognizes and values good performance.
  1. Measures performance against goals and objectives.

Results Oriented

Definite Strength Meets Standards Needs Development N/A
  1. Stays focused on meeting the needs of customers.
  1. Provides clear expectations for employees.
  1. Works toward achievement of goals even when confronted with obstacles.
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Does not become distracted by non-issues or interruptions.


Definite Strength Meets Standards Needs Development N/A
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Participates in safety training when available.
  1. Develops a sustainable safety culture.
  1. Works to implement corrective safety measures.
  1. Commits adequate resources toward safety measures.


Definite Strength Meets Standards Needs Development N/A
  1. Provides clear, motivating, and constructive feedback.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Addresses employee behavior problems effectively.
  1. Develops the skills and capabilities of others.
  1. Helps employees to maintain high personal standards.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.