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.
Defines roles, rights, and responsibilities of employees.
Ensures that employees are compensated fairly and in accordance with established policies.
Takes full responsibility for lack of results achieved.
Welcomes the responsibility for meeting the broad range of needs of stakeholders and clients.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Completes work on time
Encourages risk taking and experimentation to improve performance
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Handles unexpected events without a loss of productivity.
Adapts quickly to new situations.
Is flexible and open minded in dealing with others.
Accommodates changes as needed.
Is aware of changes to the policies and procedures.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks to reduce obstacles in communication that might arise from cultural differences.
Seeks clarification to avoid misunderstandings.
Shows respect in daily interactions
Accepts individual differences.
Acknowledges their own biases in cultural interactions.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets clear and ambitious goals to be met.
Rewards individuals who show imagination in developing creative solutions to problems.
Recognizes employees who have courage in persevering against great odds and difficulties.
Makes sure employees understand what is expected of them.
Identifies specific actions to be addressed through the remediation plan.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in solving problems.
Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
Solves problems using logic and insight.
Ability to develop innovative solutions to problems.
Ability to solve problems at root cause rather than at symptom level.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Takes on extra projects after required work is completed.
Immediately works on solving problems.
Able to initiate work on projects independently without direct supervision.
Anticipates what needs to be done and makes necessary preparations.
Initiates draft documents for the director.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Achieves performance benchmarks.
Always willing to help coworkers to keep productions levels high.
Sets a common goals for the team.
Achieves high levels of performance.
Strives to exceed performance benchmarks.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes individuals for a specific outstanding achievement.
Recognizes team members who offer a significant contribution to a project.
Makes people around them feel appreciated and valued.
Recognizes the abilities and skills of self and others
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: