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HR-Survey > 360-Degree Feedback > Competency Model > Accountability Skills

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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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
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Accountability

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Informs supervisor of progress without having to be asked about it.
  1. Is prepared and on time for meetings and scheduled events.
  1. Accepts personal responsibility for the timeliness of work.
  1. Willingly accepts the consequences for their actions.
  1. Accepts personal responsibility for their actions.
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. Fixes small issues before they become critical incidents.
  1. Is proactive in developing solutions to problems.
  1. Creates innovative products and services.
  1. Looks for extra ways to help the department achieve performance goals.
  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. Shares best practices with others and learns from others.
  1. Views setbacks as opportunities to learn from.
  1. Takes the initiative to learn new skills.
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Pursues self-improvement through continual learning.
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. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Able to quickly learn new ways of performing their job.
  1. Flexible and open to new ideas and encourages others to recognize the value of change.
  1. Responsive to the needs of others.
  1. Embraces change and fosters an open-minded environment.
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. Sets an example for others to follow
  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. 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. Effectively organizes resources and plans
  1. Shown significant improvement in job performance.
  1. Listens and responds to issues and problems
  1. Able to organize work.
  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. Investigates critical incidents that impact quality.
  1. Provides advice and guidance to team members on improving quality controls.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Establishes timeframes for achieving suitable quality levels.
  1. Reflects on what is working and what could be improved.
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. Can multitask while performing all of their other responsibilities and activities.
  1. Completes multiple tasks simultaneously.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Switches attention to more urgent tasks when necessary.
  1. Begins tasks as soon as possible.
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. 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. Supports technical training and development of employees.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Understands and is committed to implementing new technologies.
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. Appreciates the extra efforts made by coworkers.
  1. Respects other members of the team/department.
  1. Responds quickly to inquiries from potential customers.
  1. Willing to overlook personal differences and focus on completing the task at hand.
  1. Recognizes when others do a good job.
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.