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
Holds team accountable to meeting goals.
Takes ownership of mistakes and learns from them.
Able to complete required tasks on time and delivered expected results.
Always starts work on time.
Willing to answer for their own actions and performance.
Holds employees accountable for completing the project successfully.
Holds employees accountable through regular performance reviews.
Ensures that employees are compensated fairly and in accordance with established policies.
Takes full responsibility for lack of results achieved.
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
Will participate in training classes even if offered outside of normal working hours.
Takes advantage of training opportunities when they arise.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Stays up-to-date on emerging technologies.
Demonstrates through personal behavior the commitment to high standards of performance.
Enhances value to the company through additional training and development.
Demonstrates a willingness to participate in continuing education courses.
Enjoys learning new skills and techniques.
Creates an environment that supports personal development and exploration.
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
Open to the suggestions of others.
Accepts the views of others.
Actively seeks feedback from others.
Shares past experiences with others as learning opportunities.
Is easy to approach with ideas and opinions.
Seeks feedback to enhance performance.
Is visible and approachable.
Looks to others for input.
Considers other's opinion and suggestions.
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
...Produce Quality
Sets a high standard for job performance.
Effectively organizes resources and plans
Able to organize work.
Has great overall performance
Effective in performing his/her job.
Listens and responds to issues and problems
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
Uses a scheduler/planner to keep tasks organized and on time.
Plans and organizes continuously while performing all other responsibilities and activities.
Organizes tasks for the most efficient order of completion.
Keeps track of multiple assignments and deadlines.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
Determines which tasks are critical and which tasks are optional.
Ensures that assignments are prioritized according to the needs of the department/company.
Switches attention to more urgent tasks when necessary.
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
Ensures all team members understand the goals.
Guides team members to reconcile their differences and collaborate effectively.
Fosters a cooperative environment rather than a highly competitive one.
Encourages open dialog and sharing of information among team members.
Keeps everyone aligned and motivated to maintain a cohesive and productive team.
Understands that collaboration often leads to more innovative and effective solutions.
Readily shares information with other group members.
Gains the cooperation of others to accomplish common goals and objectives.
Develops networks and builds alliances with employees throughout the company.
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
Behavior is ethical and honest.
Is a person you can trust.
...takes personal responsibility for results.
Works in a way that makes others want to work with her/him.
Holds herself / himself accountable to goals / objectives
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Sets a good example
Responsible for setting the vision of the department.
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.