Accountability - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Accountability

• Accepts the consequences for their actions.
• Takes responsibility for their actions and admits mistakes openly.
• Fully embraces the responsibilities that contribute to our departmental success.
• Keeps supervisor informed of recent events.
• Takes responsibility for results.

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

Comments:

Management

• Takes responsibility for things that go wrong
• Is ready to offer help
• Sets an example for others to follow
• Makes you feel enthusiastic about your work
• Delegate tasks effectively

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

Comments:

Adaptability

• Handles changes easily.
• Able to quickly learn new ways of performing their job.
• Adjusts priorities to the new Corporate mission.
• Is open to change and adjusts plans when needed.
• Continually trying to improve skills to remain current.

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

Comments:

Empowering Others

• Sets goals to allow the employee to have more autonomy over their work.
• Allows employees to participate in the workload of the department.
• Gives employees the freedom to set their own schedule.
• Gives employees input into the decision making process.
• Views others in the department as valued assets to be trained and employed.

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

Comments:

Company

• Attends [Company] gatherings and social events.
• Impresses upon others the important aspects of [Company].
• Expresses loyalty and dedication to [Company] in interactions with others.
• Follows existing procedures and processes.
• Understands the "basics" as to how [Company] functions/operates.

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.