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

• 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.
• Allows employees to decide how they wish to complete the tasks.
• Assigns tasks to create learning opportunities for the employees.
• Defines the roles, responsibilities, required actions, and deadlines for team members.

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

Analytical

• Prioritizes various actions to be taken when solving a problem.
• Identifies the root cause of a problem.
• Asks the "right" questions to size up or evaluate situations.
• Identifies problems and issues needing resolution.
• Balances risks and costs with the rewards and probabilities of success when decisions.

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

Client Focus

• Promptly responds to clients.
• Is aware of the client's needs.
• Exceeds expectations of the clients.
• Prioritizes client issues based on urgency.
• Has excellent communication with clients.

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

Self Management

• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Does not allow own emotions to interfere with the performance of others.
• Analyzes interpersonal problems instead of reacting to them.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.

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

Recognition

• Reinforces and rewards employees for accomplishing necessary goals.
• Says "thank you" to show appreciation for work of others.
• Lets employees know when they have done well
• Recognizes team members who offer a significant contribution to a project.
• Readily shares credit and gives others opportunity for visibility.

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.