Accountability - 360 Degree Feedback Survey Sample #11

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.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Accountability mean?
It means that ...
  • You take ownership of mistakes and learn from them.
  • You implement and facilitate controls and processes that maintain the integrity of the organization.
  • You define roles, rights, and responsibilities of the team.
  • You are someone who is trustworthy.
  • You encourage employees to take on greater responsibilities.

To what extent does this person exhibit Accountability?
Select from one of the ratings below.

Continual Learning

What does Continual Learning mean?
It means that ...
  • You share best practices with others and learn from others.
  • You seek opportunities to grow in skills and knowledge.
  • You are open to new ideas and concepts.
  • You pursue professional development opportunities when they arise.
  • You set relevant learning objectives and goals.

To what extent does this person exhibit Continual Learning?
Select from one of the ratings below.

Administrative Skill

What does Administrative Skill mean?
It means that ...
  • You take responsibility for decisions.
  • You have strong organizational skills to keep the workspace and department in order
  • You implement and use performance measures.
  • You have strong technical/computer skills.
  • You complete reports on-time.

To what extent does this person exhibit Administrative Skill?
Select from one of the ratings below.

Technology Use/Management

What does Technology Use/Management mean?
It means that ...
  • You understand and are committed to implementing new technologies.
  • You apply complex rules and regulations to maintain optimal system performance.
  • You support technical training and development of employees.
  • You maximize the use of new technology to deliver products and services.
  • You identify gaps between actual and needed technical competencies and provide recommendations for required training.

To what extent does this person exhibit Technology Use/Management?
Select from one of the ratings below.

Strategic Focus

What does Strategic Focus mean?
It means that ...
  • You understand your role within the organization.
  • You are able to decline a poor strategy by proposing alternate strategies.
  • You look for opportunities to enhance contributions to the bottom line.
  • You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
  • You understand and contribute to development of strategic goals.

To what extent does this person exhibit Strategic Focus?
Select from one of the ratings below.

Areas for Development

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