Accountability - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Accountability:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Accountability, Action, Continual Learning, Adaptability, Management, Performance, Quality, Juggling Multiple Responsibilities, Technology Use/Management, Interpersonal Skills
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Accountability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Works hard to ensure the success of the department.
  1. Recognizes when a mistake is made and works to correct the issue.
  1. Holds employees accountable for meeting performance benchmarks.
  1. Develops goals and establishes objective measures of success.
  1. Lets supervisor know of any setbacks to the progress on achieving goals.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes decisions confidently and stands by them.
  1. Pursues goals with action to achieve success.
  1. Takes preemptive actions avoid obstacles or delays.
  1. Works at a quick pace.
  1. Is driven to complete a high amount of work.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes the initiative to learn new skills.
  1. Pursues learning that will enhance job performance.
  1. Pursues professional development opportunities when they arise.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Improves on their skill sets.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Adaptability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Handles unexpected events without a loss of productivity.
  1. Adapts to changes in team membership.
  1. Continually trying to improve skills to remain current.
  1. Able to quickly learn new ways of performing their job.
  1. Adapts to new environments.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Performance

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. ...Produce Quality
  1. Effectively organizes resources and plans
  1. Works well in this position.
  1. ...Overall Performance
  1. Effective in performing his/her job.
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?

Quality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Adjusts processes or procedures to improve quality results.
  1. Adopts, integrates, and disseminates quality guidelines and standards.
  1. Implements standardized and data driven quality processes/procedures.
  1. Ensures high consistency across batches or production runs.
  1. Designs effective quality control systems.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Assesses current capabilities before committing to new requests from customers.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Organizes tasks for the most efficient order of completion.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Uses a scheduler/planner to keep tasks organized and on time.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Adopts the implementation of new technology into the workplace.
  1. Proficient in the use of technical systems and processes.
  1. Uses technology in decision making and problem solving.
  1. Maximizes the use of new technology to deliver products and services.
  1. Supports technical training and development of employees.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Interpersonal Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Takes time to recognize the efforts of others.
  1. Considers the other individual's point of view.
  1. Is willing to lend a hand to those in the department who need help.
  1. Maintains a high degree of honesty and integrity.
  1. Sees values in the diversity of individuals on the team.
If [Participant Name] were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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