Delegation - 360 Degree Feedback Survey Template #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Delegation

• Considers growth opportunities and possibilities for the employees.
• Assigns tasks to help build the skill sets of subordinates.
• Defines task boundaries, decision rights, and escalation protocols to prevent ambiguity.
• Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
• Delegates tasks, responsibilities, and accountability as appropriate.

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

Comments:

Creativity

• Poses thought-provoking questions that spark new ideas.
• Willing to break the boundaries and think outside the box to find creative solutions.
• Looks toward best practices from other high performing companies.
• Acknowledges both the good and the bad parts of newly created ideas/products.
• Works across departments to stimulate creative ideas.

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

Comments:

Continual Improvement

• Analyzes processes to determine areas for improvement.
• Looks for ways to expand current job responsibilities.
• Encourages an employee culture of continuous improvement to seek out better ways of doing things.
• Looks for ways to expand and learn new job skills.
• Looks for ways to improve work processes and procedures.

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.
• Is able to control their own emotions.
• Is able to express themselves clearly.
• Is able to manage their own emotions.
• Is attentive to emotional cues and interprets others' feelings correctly.

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

Comments:

Goals

• Aids and facilitates attainment of departmental goals.
• Strategically positions the company effectively in the market by setting goals that leverage unique value propositions and target market segments.
• Clearly conveys to staff the significance of each goal, emphasizing their priorities.
• Connects shorter task specific goals to longer term performance goals.
• Consistently stays on course and avoids distractions.

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.