Accountability - 360 Degree Feedback Survey Sample #1

Instructions:

The 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.

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 and . 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
Creates a consistent process for prioritizing work.
Defines roles, rights, and responsibilities of the team.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Is someone you can trust.
Can be counted on to do what they say they are going to do.
If 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
Makes effective decisions, even when under pressure.
Displays high energy and enthusiasm on consistent basis.
Works quickly when faced with difficult problems.
Motivates & supports others to gain skills
Does whatever it takes (within reason) to get the job done.
If 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
Shares best practices with others and learns from others.
Builds on their strengths while addressing their weaknesses.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues self-improvement through continual learning.
Sets relevant learning objectives and goals.
If 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
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Recognizes and implements changes to enhance efficiency and effectiveness.
Able to work effectively with new people and new teams.
Works effectively in dynamic and changing work environments.
If 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
Takes responsibility for things that go wrong
Is ready to offer help
Makes you feel enthusiastic about your work
Sets an example for others to follow
Delegate tasks effectively
If 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
Able to organize work.
Effectively organizes resources and plans
...Produce Quality
Shown significant improvement in job performance.
Works well in this position.
If 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
Encourages employees to produce the best quality products.
Encourages others to achieve high quality standards.
Encourages others to produce the highest quality work products.
Always strives to produce the highest quality work products.
Analyze what occurred and re-adjusts accordingly when goals are not met.
If 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
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Can multi-task while performing all of their other responsibilities and activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Plans and organizes continuously while performing all other responsibilities and activities.
Assesses current capabilities before committing to new requests from customers.
If 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
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
Adopts the implementation of new technology into the workplace.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
If 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
Is a role model for others
Adapts management style to meet the needs of the individual or situation.
Able to work with individuals at all levels of the Company.
Is open and approachable
Uses tact, compassion, and sensitivity in interactions with others.
If were to make improvements in Interpersonal Skills, what are your suggestions for how he/she can improve this?

51. What are 's greatest strengths demonstrated this year?
    
    
    
52. What are 's areas for development?
    
    
    
53. Please give any final comments or suggestions for 's assessment.