Accountability - 360 Degree Feedback Survey Sample #3





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

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Accountability, Management, Performance, Initiative, Managing Risk, Regulatory/Compliance, Responsible, Organizational Fluency
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Establishes who is responsible for various aspects of the project.
  1. Consistently strives to complete work on time or ahead of schedule.
  1. Accepts accountability for their work.
  1. Takes personal responsibility for the quality of their work.
  1. Maintains honesty and transparency in all communications.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Is ready to offer help
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. ...Produce Quality
  1. Works well in this position.
  1. Listens and responds to issues and problems
  1. Sets a high standard for job performance.
  1. Has great overall performance
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is an inspiration for others to perform above expectations.
  1. Is a self-starter. Does not wait to be told to do something.
  1. Initiates draft documents for the director.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Confronts problems immediately without supervisor instructions.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Implements changes to reduce the chances of critical incidents in the future.
  1. Creates a level of resilience in the organization.
  1. Increases business resilience.
  1. Creates a risk profile for projects and teams.
  1. Determines the impact of specific risks on reputation.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Keeps informed of various regulations and procedures.
  1. Develops and implements a compliance data recordkeeping system.
  1. Creates and maintains necessary regulatory documentation.
  1. Is aware of federal and local laws affecting employees.
  1. Creates an oversight panel to provide comprehensive supervision for the organization.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works in a way that makes others want to work with her/him.
  1. Completes assigned work tasks.
  1. Sets a good example
  1. Sets a good example.
  1. Holds herself / himself accountable to goals / objectives
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Understands the current organizational culture.
  1. Anticipates problems that may affect the department.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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