Accountability - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts accountability for their actions and results.
Takes ownership of mistakes and learns from them.
Keeps supervisor informed of recent events.
Tackles issues head on and finds solutions.
Acts like an owner when they make decisions.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Generates alternative solutions to problems and challenges.
Solves problems using logic and insight.
Makes judgments based upon relevant information.
Actively seeks the root cause of a problem.
Is a good problem solver and decision maker
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Inspires creativity in their team.
Adds value to the department/organization.
Conceives, implements and evaluates ideas.
Develops solutions to challenging problems.
Is creative and inspirational.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Driven to complete assignments on time.
Sets challenging goals for the department.
Makes use of talents of others to help achieve a high level of performance.
Works at a quick pace to complete a high volume of work.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works quickly to implement changes in regulations.
Offers training to employees to ensure they comply with regulations.
Creates and maintains necessary regulatory documentation.
Interacts with auditors and regulators on a professional basis.
Offers training to employees to ensure they are complying with regulations.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is available to respond to client needs.
Anticipates problems that the client may encounter.
Delivers on commitments made to clients.
Understands what resources are needed to meet client needs.
Adapts to changes proposed by the client.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Communicates goals and objectives to employees.
Understands & contributes to development of strategic goals.
Able to decline a poor strategy by proposing alternate strategies.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.