Accountability - 360 Degree Feedback Survey Sample #14

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

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Accountability	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Accepts responsibility to lead efforts to solving critical problems.
Takes ownership of problems to find the best solutions.
Does not make excuses for being late for work.
Always keeps the supervisor informed of relevant information.
Takes full responsibility for lack of results achieved.
Consistently follows through on commitments and promises.
Takes full responsibility for results.
Accepts accountability for their actions and results.
Able to complete required tasks on time and delivered expected results.
If [Participant Name] were to make improvements in Accountability, what are your suggestions for how he/she can improve this?
Passion To Learn	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Inspires others to learn new things.
Stays up-to-date on emerging technologies.
Takes initiative for own learning and development.
Constantly enhances product knowledge through experimentation and play.
Exhibits willingness to upgrade skills through additional training and education.
Is open to feedback from others.
Is committed to enhancing their own knowledge and skills.
Demonstrates through personal behavior the commitment to high standards of performance.
Demonstrates a willingness to participate in continuing education courses.
If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?
Feedback	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Provides frequent and effective feedback to subordinates.
Offers clear, practical guidance to help others improve performance and grow professionally.
Nurtures an environment that supports lifelong learning and progress.
Cultivates a setting that promotes open dialogue, mutual regard, and ongoing development to ensure effective feedback between managers and their employees.
Selects an appropriate set of individuals (peers, subordinates, customers) to provide feedback through a 360-Feedback system.
Begins feedback with what the recipient is doing well to set a positive tone and helps them feel valued.
Engages in impactful performance feedback sessions by emphasizing the purpose of supporting the employee's growth as a professional.
Explores alternative perspectives or interpretations of feedback to broaden self-awareness.
Demonstrates a commitment to personal and professional growth through open acceptance of feedback results.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Works effectively in the department.
Able to organize work.
Listens and responds to issues and problems
Effectively organizes resources and plans
Shown significant improvement in job performance.
...Produce Quality
Has great overall performance
Works well in this position.
...Overall Performance
If [Participant Name] were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Juggling Multiple Responsibilities	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Assesses current capabilities before committing to new requests from customers.
Uses a scheduler/planner to keep tasks organized and on time.
Is aware of the deadlines for specific tasks/assignments.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Switches attention to more urgent tasks when necessary.
Plans and organizes continuously while performing all other responsibilities and activities.
Ensures that assignments are prioritized according to the needs of the department/company.
Keeps track of multiple assignments and deadlines.
Organizes tasks for the most efficient order of completion.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?
Collaboration	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Defines shared goals with the committee members.
Facilitates resolving differences to strengthen team unity.
Includes all stakeholders in the decision making process.
Promotes open participation and communication within department and throughout the organization.
Addresses interpersonal issues with a collaborative mindset.
Creates a culture that fosters and values collaboration.
Strengthens relationships with suppliers to improve contract and price negotiation terms.
Actively engages with team members to foster a cooperative environment.
Works to create innovative ideas from the collaboration with others.
If [Participant Name] were to make improvements in Collaboration, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement	Could Benefit from Development	Performs as Expected	Is a Role Model for Others	Don't Know
Is a person you can trust.
Sets high personal standards of performance.
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
Sets a good example.
Completes assigned work tasks.
Responsible for setting the vision of the department.
Sets a good example
Holds herself / himself accountable to goals / objectives
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

64. Strengths
    
    
    
65. Areas for Development
    
    
    
66. Please give any final comments or suggestions for [Participant Name Here]'s assessment.