Delegation - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

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)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Delegation mean?
It means that ...
  • You allow employees to decide how they wish to complete the tasks.
  • You allow subordinates to use their own methods and procedures.
  • You clearly define duties and tasks to be completed.
  • You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  • You set clear and reasonable expectations for others and follow through on their progress.

To what extent does this person exhibit Delegation?
Select from one of the ratings below.


What does Leadership mean?
It means that ...
  • You motivate and challenges employees to attain a shared vision.
  • You are a highly effective supervisor.
  • You sit down regularly with employees to review your job performance.
  • You give direct, constructive, and actionable feedback.
  • You hold others accountable for your actions.

To what extent does this person exhibit Leadership?
Select from one of the ratings below.


What does Entrepreneurship mean?
It means that ...
  • You exhibit determination and passion in completion of goals.
  • You balance risks and rewards when making decisions.
  • You encourage dynamic growth opportunities.
  • You are able to adapt the department to changing business demands and climate.
  • You are excellent at managing relationships with stakeholders.

To what extent does this person exhibit Entrepreneurship?
Select from one of the ratings below.

Co-worker Development

What does Co-worker Development mean?
It means that ...
  • You set and clearly communicate expectations, performance goals, and measurements to others
  • You provide ongoing feedback to co-workers on your development progress
  • You work to identify root causes of performance problems
  • You adapt coaching and mentoring approach to meet the style or needs of individuals
  • You give others development opportunities through project assignments and increased job responsibilities

To what extent does this person exhibit Co-worker Development?
Select from one of the ratings below.

Passion To Learn

What does Passion To Learn mean?
It means that ...
  • You are open to feedback from others.
  • You are open minded and curious about learning new skills.
  • You enjoy learning new skills and techniques.
  • You demonstrate a willingness to participate in continuing education courses.
  • You take advantage of training opportunities when they arise.

To what extent does this person exhibit Passion To Learn?
Select from one of the ratings below.

Areas for Development

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