Accountability - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

---

Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Requires employees to submit monthly reports of the work they performed.
Takes full responsibility for team's lack of progress.
Holds employees accountable for meeting performance benchmarks.
Expects employees to accept the consequences of their actions.
Consistently strives to complete work on time or ahead of schedule.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Conveys a sense of urgency about addressing problems and opportunities
Completes work on time
Encourages risk taking and experimentation to improve performance
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts tactics when things are not working as expected.
Is aware of changes to team personnel.
Adapts to new environments.
Adjusts to the new vision and mission of the company.
Accommodates changes as needed.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps other employees to become more culturally sensitive.
Treats others with dignity and respect.
Is aware of differences in how individuals from other cultures greet one another.
Interacts effectively with people from different cultural backgrounds.
Actively listens to other employees' stories about their culture.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures employees are trained in areas where performance may be lacking.
Measures job performance of subordinates against defined goals and objectives.
Uses established criteria for measuring job performance.
Encourages employees to take additional training in areas where they had low performance scores.
Acknowledges employee contributions that support the bottom line.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works cooperatively with others to solve problems.
Is a good problem solver and decision maker
Identifies and assesses all potential responses to a problem.
Finds creative ways to get things done with limited resources.
Able to balance the needs of different people in a solution to a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Quickly comes to the aid of those who may need help.
Looks for opportunities to move projects forward.
Addresses small problems before they become big ones.
Initiates draft documents for the director.
Encourages others on the team to suggest process improvements.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works toward achievement of goals even when confronted with obstacles.
Exceeds performance requirements.
Always willing to help coworkers to keep productions levels high.
Gives extra effort to solve problems and get work done on time.
Determines the objectives for the project.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes individuals for a specific outstanding achievement.
Finds opportunities to recognize others.
Makes people around them feel appreciated and valued.
Recognizes team members who offer a significant contribution to a project.
Lets employees know when they have done well

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: