Accountability - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

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.

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.

Flexibility

• Willing to try new ideas.
• Encourages others to adopt new procedures.
• Identifies new opportunities to achieve goals
• Adapts to circumstances as needed.
• Works effectively during periods of change.

If [Participant Name] were to make improvements in Flexibility, what are your suggestions for how he/she can improve this?

Accountability

• Is someone you can trust.
• Takes responsibility for results.
• Can be counted on to do what they say they are going to do.
• Holds team accountable to meeting goals.
• Tackles issues head on and finds solutions.

If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?

Emotional Intelligence

• Accurately perceives the emotional reactions of others.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Is able to manage their own emotions.
• Is able to control their own emotions.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Persuasion and Influence

• Able to express own goals and needs.
• Has excellent influencing/negotiating skills.
• Seeks to obtain consensus or compromise.
• Ensures stakeholders are involved in the decision making process.
• Attempts to persuade others rather than simply control them.

If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Developing Others

• Develops employees by offering and encouraging them to take on new or additional responsibilities.
• Sets performance objectives for subordinates that encourages development opportunities.
• Supports the successes of other employees.
• Assesses employees' developmental needs.
• Creates a work environment that fosters positive feedback to employees.

If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

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

5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

Strengths


Areas for Development


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