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
Holds team accountable to meeting goals.
Takes ownership of mistakes and learns from them.
Accepts accountability for their actions and results.
Acts like an owner when they make decisions.
Creates a consistent process for prioritizing work.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies fresh approaches and shows a willingness to question traditional assumptions.
Implements effective solutions to critical problems.
Understands the root causes of problems.
Finds creative ways to get things done with limited resources.
Generates alternative solutions to problems and challenges.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is creative and inspirational.
Is creative.
Develops solutions to challenging problems.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes calculated risks.
Eliminates bureaucratic barriers to streamline processes.
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Helps others to improve or meet standards of performance.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Offers training to employees to ensure they are complying with regulations.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Creates and maintains necessary regulatory documentation.
Creates documents and reports as needed to maintain compliance with regulations.
Offers training to employees to ensure they comply with regulations.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Satisfies client needs.
Ensures client commitments and requirements are met or exceeded
Is pro-active in dealing with clients and addressing their needs.
Looks for opportunities that have a positive impact on Clients.
Obtains feedback to ensure client needs are being met.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands their role within the organization.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Monitors performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
Understands & contributes to development of strategic goals.
Communicates goals and objectives to employees.

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.