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

• Tells subordinates what to do, not how to do it.
• Assigns tasks to create learning opportunities for the employees.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.
• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Defines goals and objectives for subordinates.

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

Comments:

Creativity

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

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

Comments:

Continual Improvement

• Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
• Analyzes processes to determine areas for 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.
• Open to the suggestions from others.

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

Comments:

Emotional Intelligence

• Is able to express themselves clearly.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Accurately perceives the emotional reactions of others.
• Is able to control their own emotions.

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

Comments:

Goals

• Conducts timely follow-up; keeps others informed on a need to know basis.
• Establishes and documents goals and objectives.
• Understands & contributes to development of strategic goals.
• Achieves goals.
• Makes sure that I 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.