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
Takes full responsibility for project outcomes.
Takes full responsibility for results.
Commits to leading the initiatives to solving critical issues.
Consistently strives to meet high standards of excellence.
Expects employees to account for their actions and performance.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
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.
Encourages risk taking and experimentation to improve performance
Completes work on time
Motivates others to achieve or exceed goals
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of changes to team personnel.
Adapts quickly to new situations.
Works effectively in dynamic and changing work environments.
Adjusts plans to meet the needs of new constraints.
Works effectively with various personalities of team members.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Communicates with others without the influence of racism.
Encourages a work environment where individual differences are valued.
Is willing to include individuals with different cultural backgrounds on the team.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Views diversity as a strength, not as an issue.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses existing performance frameworks to define measures of performance.
Creates several measures of success for each goal.
Establishes measures of performance.
Provides additional responsibilities for employees that exceed performance standards.
Routinely holds audits of performance on a weekly or monthly basis.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to balance the needs of different people in a solution to a problem.
Actively seeks the root cause of a problem.
Ability to develop innovative solutions to problems.
Finds creative ways to get things done with limited resources.
Works cooperatively with others to solve problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Acts with urgency when time is of the essence.
Helps the department take the initiative to create new solutions.
Anticipates what needs to be done and makes necessary preparations.
Is proactive when preparing for potential problems or critical events.
Expands the offerings of the department by working evenings and weekends.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Focuses on achieving important goals.
Directs team in prioritizing daily work activities
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Works hard despite obstacles that impede progress.
Has a strong drive to complete goals despite obstacles that may arise.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Compliments other people when they do good work
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Is sincerely interested in the suggestions of co-workers
Recognizes individuals for a specific outstanding achievement.

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: