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Accountability - 360 Degree Feedback Survey Sample #8





Questionnaires Measuring Accountability:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

You have been selected to complete a self-assessment questionnaire as part of a 360-degree feedback assessment. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

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Accountability

Agree Unsure Disagree N/A
  1. I project an image of transparency and trustworthiness in the administration of fair and equitable policies.
  1. I take responsibility for errors and actively work to correct them.
  1. I demonstrate a commitment to taking responsibility for actions.
  1. You take charge of addressing and solving problems.
  1. I regularly lead the way when helping the team troubleshoot various issues.


Administrative Skill

Agree Unsure Disagree N/A
  1. You accurately implement contract provisions.
  1. You implement and use performance measures.
  1. You are able to develop, justify and present a budget.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You have strong technical/computer skills.


Change Management

Agree Unsure Disagree N/A
  1. I facilitate change with minimal resistance.
  1. I inspire others to want to change.
  1. I inspire others to accept the recent changes.
  1. You support new initiatives for organizational changes to improve effectiveness.
  1. I inspire others to accept changes.


Managing Risk

Agree Unsure Disagree N/A
  1. You are knowledgeable of standard risk management principles.
  1. I identify opportunities that may be created by taking specific risks.
  1. You turn risks into opportunities.
  1. You perform a risk analysis as needed.
  1. I determine the impact of specific risks on infrastructure.


Regulatory/Compliance

Agree Unsure Disagree N/A
  1. I ensure appropriate followup for regulatory violations.
  1. You perform audits regularly, or without notice, to ensure proper compliance with regulations.
  1. I coordinate internal and external audit procedures.
  1. You develop compliance reports in accordance with federal and industry regulations.
  1. You are familiar with EEOC, FLSA, OSHA and ERISA acts/standards.


Customer Focus

Agree Unsure Disagree N/A
  1. You anticipate potential obstacles to meeting customer needs.
  1. I identify the core needs of the customer.
  1. You consistently model positive customer service attitudes.
  1. You identify the most pressing needs of each customer.
  1. You consistently exceed customer expectations.


Organizational Fluency

Agree Unsure Disagree N/A
  1. You are able to use corporate politics to advance department objectives.
  1. You understand the current organizational culture.
  1. You get things done through the department.
  1. You are able to deal with sensitive issues with tact and professionalism.
  1. You anticipate problems that may affect the department.


Vision

Agree Unsure Disagree N/A
  1. I am able to convert the current department vision into strategic objectives/plan.
  1. I establish a timeline for attainment of the organization's vision.
  1. I recognize issues and formulate solutions.
  1. You commit to undertaking the implementation of the strategic vision.
  1. You are devoted to carrying out the strategic vision.



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






  2. Strengths


  3. Areas for Development


  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.