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.

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Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Exhibits a sense of ownership of the process.
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Regularly completes tasks on time.
Takes responsibility for the team's actions and results.
Sets clear expectations for performance.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Displays high energy and enthusiasm on consistent basis.
Identifies ways to simplify work processes and reduce cycle times
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Conveys a sense of urgency about addressing problems and opportunities
Motivates others to achieve or exceed goals
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adapts quickly to new situations.
Adjusts strategy when new information is presented.
Effective in working with different personnel of the team.
Recognizes and implements changes to enhance efficiency and effectiveness.
Adjusts priorities to the new Corporate mission.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages a work environment where individual differences are valued.
Understands how their own cultural background can impact the way they communicate and interact with others.
Is aware of cultural differences in business etiquette.
Is curious and willing to ask questions about the cultural differences in the workplace.
Interacts effectively with people from different cultural backgrounds.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets the Objectives and Key Results (OKRs) required for the position.
Uses weekly staff meetings to assess performance of key responsibilities.
Assigns tasks and responsibilities and holds employees accountable for actions.
Encourages employees to take additional training in areas where they had low performance scores.
Revises the Objectives and Key Results (OKRs) required for the position on a quarterly basis.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gathers input from various team members helps to ensure that the problem is fully understood from all angles, reducing the risk of oversight.
Clarifies objectives and the current scenario to help employees grasp the problem.
Establish clear, measurable goals that the action plan aims to achieve.
Conducts a thorough and careful analysis of the underlying causes of problems.
Is able to isolate the main problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is an inspiration for others to perform above expectations.
Initiates draft documents for the director.
Acts with urgency when time is limited.
Seizes upon opportunities available.
Prepares for unexpected contingencies.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets benchmarks and milestones to measure progress toward the objectives.
Determines the parts of the project that need completed first.
Holds self and others accountable for achieving results.
Determines what resources will be needed to achieve the objectives.
Has a strong result orientation.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Says "thank you" to show appreciation for work of others.
Recognizes team members who offer a significant contribution to a project.
Offers recognition in a timely manner.
Is sincerely interested in the suggestions of co-workers
Readily shares credit and gives others opportunity for visibility.

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: