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

• Demonstrates flexibility in thoughts and actions.
• Encourages others to adopt new procedures.
• Embraces change, values feedback, and is willing to experiment with different methods to find the most effective solutions.
• Focuses on continuous improvement strategies.
• Permits flexible working and flex-time to accommodate employee needs to meet external obligations.

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

Accountability

• Continues to work diligently on a problem despite setbacks.
• Is someone you can trust.
• Acknowledges errors and takes the steps necessary to rectify them.
• Consistently follows through on commitments and promises.
• Willing to answer for their own actions and performance.

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

Emotional Intelligence

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

• Understanding what others need.
• Seeks to obtain consensus or compromise.
• Attempts to persuade others rather than simply control them.
• Persuades others to consider alternative points of view.
• Has excellent influencing/negotiating skills.

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

Developing Others

• Recognizes and celebrates accomplishments of others.
• Encourages employees through recognition of positive changes in behavior.
• Assesses employees' developmental needs.
• Supports the successes of other employees.
• Assigns tasks and responsibilities to develop skills of others.

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.