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)

You have been selected to provide feedback for the manager listed above. 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.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

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.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Tackles issues head on and finds solutions.
  1. Is aware of problems or issues that may affect the organization.
  1. Defines roles, rights, and responsibilities of employees.
  1. Takes responsibility for results.
  1. Implements and facilitates controls and processes that maintain the integrity of the organization.

Administrative Skill

Agree Unsure Disagree N/A
  1. Enthusiastic about taking on challenging projects.
  1. Implements and uses performance measures.
  1. Able to develop, justify and present a budget.
  1. Takes responsibility for decisions.
  1. Accurately implements contract provisions.

Change Management

Agree Unsure Disagree N/A
  1. Adopts changes to set and example for others to follow.
  1. Effective in dealing with ambiguous and challenging situations.
  1. Addresses organizational and departmental resistance to changes.
  1. Supports the Company's efforts to implement changes.
  1. Assists others in understanding changes to the organization.

Managing Risk

Agree Unsure Disagree N/A
  1. Responds appropriately to unexplained or unanticipated events.
  1. Works within constraints of the organization.
  1. Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
  1. Seeks to retain the best and brightest employees.
  1. Recognizes that small changes may snowball into major events.


Agree Unsure Disagree N/A
  1. Understands the applicable regulations and laws that impact our business.
  1. Explains regulations and procedures to others as required.
  1. Addresses issues quickly before they develop into major problems.
  1. Keeps informed of various regulations and procedures.
  1. Understands and adheres to internal and external regulations.

Customer Focus

Agree Unsure Disagree N/A
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Consistently models positive customer service attitudes.
  1. Does not hesitate to address customer concerns or complaints.
  1. ...friendliness and courtesy
  1. Develops strong customer relationships.

Organizational Fluency

Agree Unsure Disagree N/A
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.
  1. Able to explain departmental policies and procedures to others.
  1. Understands departmental policies and procedures.
  1. Effective in communicating with others within the organization.


Agree Unsure Disagree N/A
  1. Demonstrates consistency between words and actions
  1. Creates a common vision for others.
  1. Creates a positive vision of the future for the Company.
  1. Leads employees in new directions.
  1. Persuades others to follow the Company's vision.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.