Accountability - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

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)

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 comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Sample Result Document:
Sample Results
Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.


Definite Strength Meets Standards Needs Development N/A
  1. Takes responsibility for results.
  1. Creates a consistent process for prioritizing work.
  1. Holds team accountable to meeting goals.
  1. Develops goals and establishes objective measures of success.
  1. Is aware of problems or issues that may affect the organization.

Communication Skills

Definite Strength Meets Standards Needs Development N/A
  1. Communications with department leadership
  1. Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
  1. Deals with difficult situations calmly and confidently.
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Communicates effectively with all levels of the organization.

Emotional Intelligence

Definite Strength Meets Standards Needs Development N/A
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to control their own emotions.
  1. Able to understand others' points of view.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to manage their own emotions.

Managing Performance

Definite Strength Meets Standards Needs Development N/A
  1. Creates clear standards that are understandable and fair.
  1. Acknowledges employee contributions that support the bottom line.
  1. Continuously measures performance and provides feedback to employees regularly.
  1. Recognizes and values good performance.
  1. Addresses poor performance sooner rather than later.

Project Management

Definite Strength Meets Standards Needs Development N/A
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Inspires others to accomplish goals and objectives.
  1. Organizes work and sets priorities as needed.


Definite Strength Meets Standards Needs Development N/A
  1. Understands & contributes to development of strategic goals.
  1. Establishes and documents goals and objectives.
  1. Goal Setting
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Makes sure that team members have a clear idea of our group's goals.

Technology Use/Management

Definite Strength Meets Standards Needs Development N/A
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.


Definite Strength Meets Standards Needs Development N/A
  1. Completes assigned work tasks.
  1. Behavior is ethical and honest.
  1. Works in a way that makes others want to work with her/him.
  1. Sets a good example.
  1. Holds herself / himself accountable to goals / objectives

Organizational Fluency

Definite Strength Meets Standards Needs Development N/A
  1. Understands departmental policies and procedures.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands the current organizational culture.
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.

  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.