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

• Aware of the consequences for failure to complete the project.
• Regularly completes tasks on time.
• Takes responsibility for the direction of the team.
• Takes responsibility for errors in the production line.
• Holds employees accountable for their participation in solving department problems and issues.

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

Comments:

Management

• Is ready to offer help
• Sets an example for others to follow
• Keep staff informed about what is happening in the company
• Takes responsibility for things that go wrong
• Delegate tasks effectively

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

Comments:

Adaptability

• Adapts to new environments.
• Able to adjust to changes as needed.
• Works effectively with various personalities of team members.
• Adjusts plans to meet the needs of new constraints.
• Accommodates changes as needed.

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

Comments:

Empowering Others

• Assigns important tasks to subordinates.
• Encourages employees to solve problems on their own.
• Considers ideas from employees that may challenge traditional ways of doing the job.
• Encourages employees to make informed decisions based on their own judgment and reasoning.
• Recognizes the accomplishments of employees when they complete important assignments.

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

Comments:

Company

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

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.