Delegation - 360 Degree Feedback Survey Sample #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.

Delegation

• Delegates authority and responsibility to subordinates and holds them accountable for their actions.
• Sets clear and reasonable expectations for others and follows through on their progress.
• Encourages and empowers subordinates to use initiative in achieving goals and objectives.
• Entrusts subordinates with important tasks.
• Allows subordinates to use their own methods and procedures.

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

Comments:

Creativity

• Conceives, implements and evaluates ideas.
• Inspires creativity in their team.
• Creates a lot of new ideas.
• Develops solutions to challenging problems.
• Is creative.

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.
• Analyzes processes to determine areas for improvement.
• Open to the suggestions from others.
• Looks for ways to improve work processes and procedures.
• Promotes training and development opportunities to enhance job performance.

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.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Able to understand others' points of view.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Accurately perceives the emotional reactions of others.

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

Comments:

Goals

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