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.

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. Always keeps the supervisor informed of relevant information.
  1. Always starts work on time.
  1. Works diligently for the success of the team.
  1. Understands the importance of holding employees accountable for their work.
  1. Willingly accepts the consequences for their actions.
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. Sets an example for others to follow
  1. Makes you feel enthusiastic about your work
  1. Keep staff informed about what is happening in the company
  1. Delegate tasks effectively
  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
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Listens and responds to issues and problems
  1. ...Produce Quality
  1. Sets a high standard for job performance.
  1. Works well in this position.
  1. Effectively organizes resources and plans
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. When working on a problem in a team, they are often the first to suggest possible solutions.
  1. Takes action to implement new changes in the policies and procedures.
  1. Initiates projects that have an impact on the department.
  1. Seizes upon opportunities available.
  1. Is proactive when preparing for potential problems or critical events.
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. Performs monthly risk management assessments.
  1. Ensures all components of risk management are in place.
  1. Promotes risk management competence throughout the organization.
  1. Recognizes the potential impact of systemic risks.
  1. Uses risk management to make better strategic decisions.
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. Reviews documentation and procedures manuals to ensure regulatory compliance.
  1. Documents the performance of compliance audits.
  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.
  1. Coordinates the work of other Business Managers to ensure all are in compliance with established standards and guidelines.
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. Sets high personal standards of performance.
  1. Responsible for setting the vision of the department.
  1. Acts as a resource without removing individual responsibility.
  1. Completes assigned work tasks.
  1. Sets a good example
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. Understands the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Gets things done through 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.