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 ownership of mistakes and learns from them.
Takes responsibility for their actions and admits mistakes openly.
Willingly accepts the consequences for their actions.
Works hard to ensure the success of the department.
Holds employees accountable for completing the project successfully.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Identifies ways to simplify work processes and reduce cycle times
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Conveys a sense of urgency about addressing problems and opportunities
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Easily accepts new responsibilities.
Accommodates changes as needed.
Adjusts plans to meet new situations.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Handles changes easily.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes individual and cultural differences.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Fosters a diverse workforce free from discrimination and harassment.
Values the diverse perspectives from others.
Functions effectively within various cultural contexts.
Managing Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure commitments are understood and met.
Informs team members how their performance compares to stated goals.
Acknowledges employee contributions that support the bottom line.
Uses established criteria for measuring job performance.
Recognizes team members when they contribute significantly to the team.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Solves problems using logic and insight.
Implements effective solutions to critical problems.
Identifies and assesses all potential responses to a problem.
Able to balance the needs of different people in a solution to a problem.
Generates alternative solutions to problems and challenges.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates problems and initiates plans to address them.
Acts independently to solve pressing needs.
Seizes upon opportunities available.
Acts quickly when an opportunity becomes available.
Initiates important conversation topics at meetings.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Persists in seeking objectives despite obstacles or setbacks.
Determines the best approach to achieving the expected results.
Does not become distracted by non-issues or interruptions.
Achieves long and short-term goals.
Has a positive attitude that encourages others to continue supporting the production goals.
Recognition	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Lets employees know when they have done well
Offers recognition in a timely manner.
Makes people around them feel appreciated and valued.
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work

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: