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



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Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Exhibits good governance in their role as an executive.
  1. Informs supervisor of progress without having to be asked about it.
  1. Continues to work diligently on a problem despite setbacks.
  1. Acts like an owner when they make decisions.
  1. Accepts responsibility to lead efforts to solving critical problems.
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
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Competency
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Competency
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Is ready to offer help
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
  1. Effective in performing his/her job.
  1. Sets a high standard for job performance.
  1. ...Produce Quality
  1. Shown significant improvement in job performance.
  1. Able to organize work.
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Anticipates what needs to be done and makes necessary preparations.
  1. Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
  1. Takes the initiative to change the direction or course of events.
  1. Acts quickly when an opportunity becomes available.
  1. Capitalizes on opportunities as they become available.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Competency
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Competency
  1. Creates a risk profile for projects and teams.
  1. Performs monthly risk management assessments.
  1. Creates dynamic and responsive enterprise risk management processes.
  1. Uses financial data to mitigate financial risks.
  1. Uses risk management to be more effective in identifying and implementing projects.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Develops strategies to comply with established regulations.
  1. Uses operational compliance reports to evaluate the effectiveness of internal processes.
  1. Formulates compliance policies and procedures.
  1. Creates and distributes code of ethics and code of conduct.
  1. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Sets a good example.
  1. Works in a way that makes others want to work with her/him.
  1. Completes assigned work tasks.
  1. Acts as a resource without removing individual responsibility.
  1. Sets high personal standards of performance.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Adept at navigating within the culture of the department.
  1. Effective in communicating with others within the organization.
  1. Understands departmental policies and procedures.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
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.