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
Accepts accountability for their actions and results.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Encourages employees to take on greater responsibilities.
Tackles issues head on and finds solutions.
Defines roles, rights, and responsibilities of the team.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Motivates others to achieve or exceed goals
Identifies ways to simplify work processes and reduce cycle times
Completes work on time
Seeks and utilizes opportunities for continuous learning and self-development.
Encourages risk taking and experimentation to improve performance
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops insights and applies innovative solutions to projects and problems.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Works effectively in dynamic and changing work environments.
Adapts quickly to new situations.
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.
Willing to work with employees who have different cultural backgrounds.
Respects the views offered by individuals with different cultural backgrounds.
Understands the impact that our culture may have on interactions between individuals.
Encourages a work environment where individual differences are valued.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides employees with necessary resources to accomplish their goals.
Presents performance feedback in a clear and concise manner.
Establishes indicators to measure levels of performance.
Sets specific and measurable goals for others and follows through to completion.
Provides employees with training as needed to increase their performance.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Implements effective solutions to critical problems.
Able to balance the needs of different people in a solution to a problem.
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Initiates draft reports for consideration.
Builds strong interpersonal relationships upon first meeting.
Goes above and beyond the stated goals.
Creates solutions to problems as soon as an incident occurs.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Works toward achievement of goals even when confronted with obstacles.
Helps others when free-time is available.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Provides clear expectations for employees.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers recognition in a timely manner.
Compliments other people when they do good work
Lets employees know when they have done well
Is sincerely interested in the suggestions of co-workers
Recognizes team members who offer a significant contribution to a project.

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: