Accountability - 360 Degree Feedback Survey Sample #12

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.

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

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

Accountability

• Takes responsibility for results.
• Takes ownership of mistakes and learns from them.
• Defines roles, rights, and responsibilities of the team.
• Holds team accountable to meeting goals.
• Keeps their word and does what they say they will do.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Management

• Keep staff informed about what is happening in the company
• Takes responsibility for things that go wrong
• Delegate tasks effectively
• Makes you feel enthusiastic about your work
• Sets an example for others to follow

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Adaptability

• Is flexible and open minded in dealing with others.
• Recognizes and implements changes to enhance efficiency and effectiveness.
• Is proactive and takes steps to prepare for changes in the workplace.
• Works effectively in dynamic and changing work environments.
• Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Empowering Others

• Avoids micromanaging their employees.
• Encourages employees to solve problems on their own.
• Distributes the workload to subordinates.
• Sets clear goals for others to accomplish.
• Provides support and resources needed to accomplish goals.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Company

• Understands the "basics" as to how [Company] functions/operates.
• Attends [Company] gatherings and social events.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Impresses upon others the important aspects of [Company].
• Understands how decisions impact other business units beyond their immediate department of work group.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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