Delegation - 360 Degree Feedback Survey Sample #12

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.

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

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

Delegation

• Defines the roles, responsibilities, required actions, and deadlines for team members.
• Allows employees to decide how they wish to complete the tasks.
• Entrusts subordinates with important tasks.
• Defines goals and objectives for subordinates.
• Clearly defines duties and tasks to be completed.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Creativity

• Adds value to the department/organization.
• Creates a lot of new ideas.
• Is creative and inspirational.
• Conceives, implements and evaluates ideas.
• Inspires creativity in their team.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Continual Improvement

• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Promotes training and development opportunities to enhance job performance.
• Looks for ways to expand and learn new job skills.
• Looks for ways to expand current job responsibilities.
• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Emotional Intelligence

• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Is able to control their own emotions.
• Is able to manage their own emotions.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Goals

• Achieves goals.
• Makes sure that team members have a clear idea of our group's goals.
• Goal Setting
• Achieves established goals.
• Sets high expectations and goals; encourages others to support the organization.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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