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. Holds employees accountable through regular performance reviews.
  1. Accepts personal responsibility for producing high quality and timely work.
  1. Takes responsibility for seeing the project through to completion.
  1. Always keeps the supervisor informed of relevant information.
  1. Accepts personal responsibility for not meeting expectations.
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. Motivates & supports others to gain skills
  1. Fixes small issues before they become critical incidents.
  1. Creates performance measures to ensure action by the department.
  1. Is proactive in addressing the needs of the department.
  1. Rapidly adapts to changes in the situation.
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. Participates in regular training offered.
  1. Takes the initiative to learn new skills.
  1. Improves on their skill sets.
  1. Pursues self-improvement through continual learning.
  1. Builds on their strengths while addressing their weaknesses.
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. Adjusts priorities to changing business goals.
  1. Accommodates changes as needed.
  1. Handles changes easily.
  1. Adjusts plans to meet the needs of new constraints.
  1. Able to step in and help co-workers when needed.
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. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Delegate tasks effectively
  1. Is ready to offer help
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. Listens and responds to issues and problems
  1. Effectively organizes resources and plans
  1. ...Produce Quality
  1. ...Overall Performance
  1. Sets a high standard for job performance.
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. Provides advice and guidance to team members on improving quality controls.
  1. Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
  1. Designs effective quality control systems.
  1. Creates quality improvement programs and processes.
  1. Develops specific quality standards/goals to be met within a specified timeframe.
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. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Determines which tasks are critical and which tasks are optional.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Assesses current capabilities before committing to new requests from customers.
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. Understands and is committed to implementing new technologies.
  1. Supports technical training and development of employees.
  1. Maximizes the use of new technology to deliver products and services.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Uses technology in decision making and problem solving.
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. Recognizes the contributions of others.
  1. Offers constructive criticism to have a positive impact on performance.
  1. Embraces the differences in individuals that comprise the team.
  1. Adapts management style to meet the needs of the individual or situation.
  1. Considers the other individual's point of view.
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.