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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Thank you for your participation in the survey.

Management Team

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Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Acts like an owner when they make decisions.
Defines roles, rights, and responsibilities of employees.
Able to complete required tasks on time and delivered expected results.
Willing to answer for their own actions and performance.
Is prepared and on time for meetings and scheduled events.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Links process improvement and results improvement
Open to the suggestions of others when working on a problem.
Establishes realistic budgets consistent with strategic objectives
Ability to develop innovative solutions to problems.
Implements actions as planned to address the problems.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Conceives, implements and evaluates ideas.
Adds value to the department/organization.
Is creative.
Inspires creativity in their team.
Creates a lot of new ideas.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Driven to complete goals despite obstacles that may arise.
Takes calculated risks to achieve difficult goals.
Completes work promptly and efficiently.
Completes work to a high technical standard
Is results oriented.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides direction and oversight for the compliance department.
Complies with regulatory requirements for the state.
Offers training on various subjects to help ensure employees are aware of regulations.
Creates and distributes code of ethics and code of conduct.
Develops compliance reports to share with stakeholders.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Actively listens to concerns from clients.
Views client satisfaction as an everyday priority.
Prioritizes the needs and preferences of the client.
Makes client's needs a top priority.
Focuses on the unique needs of each client.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains a strategic focus to sustain competitiveness in changing business environments.
Identifies and understands competitors in the marketplace.
Makes sure employees understand the strategy and goals.
Determines the best strategy for achieving elevated levels of performance.
Gives adequate consideration to the time and resources available.

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.