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

• Documents performance goals through an individual development plan.
• Consistently follows through on commitments and promises.
• Provides clear reasons for underperformance.
• Takes charge of addressing and solving problems.
• Consistently strives to complete work on time or ahead of schedule.

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

Comments:

Management

• Determines the staff needs for the project.
• Credits subordinates for good performance.
• Applies consistent and impartial criteria when granting high-value recognition.
• Reviews outputs to confirm they meet defined quality benchmarks before final delivery.
• Empowers employees to structure their work schedule to maximize their productivity.

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

Comments:

Adaptability

• Uses tools in innovative ways to solve problems.
• Will stop what they are doing to help colleagues in need.
• Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
• Is open to changes in policies and procedures.
• Works effectively with various personalities of team members.

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

Comments:

Empowering Others

• Avoids micromanaging their employees.
• Demonstrates confidence in the abilities of subordinates.
• Enables team members to make their own decisions on the project.
• Gives employees the freedom to set their own schedule.
• Fosters a sense of ownership and accountability for the process/product.

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

Comments:

Company

• Staffs the department to handle both day-to-day operations and unexpected challenges.
• Strengthens company morale by ensuring collaboration/teamwork is both productive and enjoyable.
• Is committed to ensuring the company is providing competitive products and services.
• Ensures safety and security on the various campuses.
• Effectively represents the department in company gatherings.

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.