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 responsibility for results.
Holds team accountable to meeting goals.
Takes full responsibility for project outcomes.
Does not make excuses for missed deadlines.
Follows through on commitments made.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Views obstacles as opportunities for action.
Takes deliberate and effective steps to ensure progress and completion of tasks.
Maintains a clear commitment to the task at hand.
Moves beyond theoretical discussions into tangible, result-driven actions, fostering a culture of proactivity and continuous progress.
Adapts quickly and finds alternative ways to achieve goals.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adjusts plans or schedules to deal with changing situations.
Adjusts priorities to the new Corporate mission.
Recognizes and implements changes to enhance efficiency and effectiveness.
Able to step in and help co-workers when needed.
Will stop what they are doing to help colleagues in need.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects others regardless of age, race, gender, nationality, or disability.
Upholds inclusive policies that protect cultural expression and identity in the workplace.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Develops skills and attitudes to bridge cultural differences.
Encourages open dialogue and ensures all voices are heard during team discussions.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses pre-established key benchmarks to measure performance.
Ensures that team goals are met 85 percent of the time.
Sets the Objectives and Key Results (OKRs) required for the position.
Ensures the eligibility of the proposed award recipient.
Ensures that OKRs are aligned with company objectives.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Assesses the size and impact of the problem to better understand where resources may be needed.
Adept at conducting an exhaustive Critical Incident interview.
Keeps a positive outlook and perseveres through challenges.
Uses tools like Gantt charts and resource calendars can help visualize and manage solutions.
Creates a table or chart to compare the solutions side-by-side across all evaluation criteria.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes charge when there is a crisis.
Acts with urgency when time is limited.
Independently seeks out new learning opportunities to improve their skills.
Actively works on resolving the issue instead of procrastinating or hoping it will resolve itself.
Immediately informs the supervisor of any critical incidents.
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.
Determined to complete tasks regardless of obstacles that may occur.
Excels in dynamic environments.
Promotes a solution-focused mindset when problems arise.
Helps the team maintain focus on the goals.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers recognition only when the employee has exceeded a certain performance level.
Ensures that the rewards are 'rewarding'.
Views recognition as a powerful motivator.
Uses Eco-Friendly awards to incentivize employees to conserve natural resources.
Recognizes employees that participate on important teams.

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: