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

• Encourages others to adopt new procedures.
• Adapts to new organizational structures, policies, or procedures.
• Identifies new opportunities to achieve goals
• Adapts to circumstances as needed.
• Effective in incorporating new ideas.

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

Accountability

• Sets clear performance measures.
• Holds employees accountable for their participation in solving department problems and issues.
• Demonstrates a commitment to taking responsibility for actions.
• Handles sensitive information with discretion and confidentiality.
• Takes responsibility for the team's actions and results.

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

Emotional Intelligence

• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Able to understand others' points of view.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Is able to control their own emotions.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

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

Persuasion and Influence

• Persuades others to consider alternative points of view.
• Ensures stakeholders are involved in the decision making process.
• Develops a good rapport with others.
• Able to express own goals and needs.
• Communicates effectively with others.

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.
• Provides constructive feedback to others.
• Creates opportunities for professional development.
• Assesses employees' developmental needs.
• Is open to receiving feedback.

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.