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

• Accepts accountability for their work.
• Accepts accountability for their actions and results.
• Ensures that employees are compensated fairly and in accordance with established policies.
• Commits to leading the initiatives to solving critical issues.
• Able to complete required tasks on time and delivered expected results.

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

Comments:

Management

• Makes you feel enthusiastic about your work
• Is ready to offer help
• Takes responsibility for things that go wrong
• Delegate tasks effectively
• Keep staff informed about what is happening in the company

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

Comments:

Adaptability

• Works effectively in dynamic and changing work environments.
• Recognizes and implements changes to enhance efficiency and effectiveness.
• Adapts to diversity within the team.
• Adjusts plans as needed based on changing conditions.
• Adjusts plans and procedures.

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

Comments:

Empowering Others

• Gives employees the resources they need to complete the job.
• Allows employees to organize their schedule to best accomplish the job.
• Encourages employees to solve problems on their own.
• Encourages others to obtain necessary skills and training.
• Creates a culture where employees are given the opportunity to take the initiative and make impactful decisions.

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

Comments:

Company

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

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.