Delegation - 360 Degree Feedback Survey Sample #10

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

• Tells subordinates what to do, not how to do it.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
• Assigns tasks to create learning opportunities for the employees.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.

If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Analytical

• Implements data validation techniques and methods.
• Balances risks and costs with the rewards and probabilities of success when decisions.
• Prioritizes various actions to be taken when solving a problem.
• Analyzes data and information from several sources and arrives at logical conclusions.
• Selects the appropriate techniques for analysis.

If [Participant Name] were to make improvements in Analytical, what are your suggestions for how he/she can improve this?

Client Focus

• Regularly receives positive feedback from clients.
• Documents client interactions.
• Forms strong client relationships
• Sets an example for excellent client relations.
• Accepts responsibility for ensuring client satisfaction.

If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

Self Management

• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Does not allow own emotions to interfere with the performance of others.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Uses patience and self-control in working with customers and associates.
• Consciously controls own negative emotions in order to keep team morale up.

If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Recognition

• Offers recognition in a timely manner.
• Recognizes team members who offer a significant contribution to a project.
• Is sincerely interested in the suggestions of co-workers
• Recognizes individuals for a specific outstanding achievement.
• Recognizes the abilities and skills of self and others

If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.