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

• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Allows subordinates to use their own methods and procedures.
• Sets clear and reasonable expectations for others and follows through on their progress.
• Clearly defines duties and tasks to be completed.
• Assigns tasks to create learning opportunities for the employees.

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

Comments:

Creativity

• Develops solutions to challenging problems.
• Adds value to the department/organization.
• Is creative and inspirational.
• Inspires creativity in their team.
• Creates a lot of new ideas.

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

Comments:

Continual Improvement

• Looks for ways to expand current job responsibilities.
• Promotes training and development opportunities to enhance job performance.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Looks for ways to improve work processes and procedures.
• Open to the suggestions from others.

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

Comments:

Emotional Intelligence

• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Accurately perceives the emotional reactions of others.
• Is able to control their own emotions.
• Is able to manage their own emotions.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

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

Comments:

Goals

• Understands & contributes to development of strategic goals.
• Makes sure that I have a clear idea of our group's goals.
• Goal Setting
• Achieves established goals.
• Makes sure that team members have a clear idea of our group's goals.

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.