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Accountability - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Accountability:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Accountability, Continual Improvement, Attitude, Project Management, Technical, Trustworthy, Negotiation, Business Acumen, Vision
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
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Accountability

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Holds employees accountable for their participation in solving department problems and issues.
  1. Defines roles, rights, and responsibilities of employees.
  1. Works to achieve established goals.
  1. Provides clear reasons for underperformance.
  1. Tackles issues head on and finds solutions.
What are your suggestions for how [Participant Name] can make improvements
in Accountability?

Continual Improvement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Looks for ways to expand current job responsibilities.
  1. Analyzes processes to determine areas for improvement.
  1. Promotes training and development opportunities to enhance job performance.
What are your suggestions for how [Participant Name] can make improvements
in Continual Improvement?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Speaks with confidence and clarity about the team's goals and outcomes, reflecting pride in their work and leadership.
  1. Takes time to polish presentations, communications, or reports, ensuring they reflect professionalism and clarity.
  1. Contributes to a positive work environment.
  1. Sees employee development as a journey and expresses confidence in their continued growth.
  1. Strives to support team success through personal accountability and proactive effort.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Holds meetings with supply-chain vendors regarding acquisition of resources.
  1. Prepares and utilizes QC Checklists to ensure high quality.
  1. Assigns project roles to the team members.
  1. Accurately determines the number of staff needed for the project.
  1. Manages various facets of the project to keep it on track with the delivery date.
What are your suggestions for how [Participant Name] can make improvements
in Project Management?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Knows how to produce high quality products/work.
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates a sense of responsibility and commitment to public trust.
  1. Takes care to maintain confidential information.
  1. Demonstrates congruence between statements and actions.
  1. Takes ownership, delivers on commitments
  1. Is trustworthy; is someone I can trust.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Negotiation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates emotional stability to facilitate productive problem-solving and relationship building.
  1. Is aware of and manages own emotions and understands the emotions of others which helps in navigating tense situations and in finding common ground.
  1. Clearly communicates boundaries and the reasons behind them.
  1. Identifies verbal and nonverbal cues to help interpret actions and messages.
  1. Actively listens to conversations to be able to recall important details later.
What are your suggestions for how [Participant Name] can make improvements
in Negotiation?

Business Acumen

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to get department employees to accept new business workflows.
  1. Conducts thorough market research to understand industry trends, customer needs, and competitive landscapes.
  1. Creates unique strategies that impact the Company.
  1. Understands how strategic decisions impact constituents within the Company.
  1. Creates robust talent development programs through the identification of key skills gaps and future needs ensuring the company is able to meet its mission and vision.
What are your suggestions for how [Participant Name] can make improvements
in Business Acumen?

Vision

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates the vision and strategy of [Company]
  1. Provides vision and strategies to the team.
  1. Coaches employees to connect their personal purpose with the department's vision.
  1. Influences the attitudes and behaviors of subordinates to match the department's vision.
  1. Provides autonomy and resources to pursue initiatives that align with the vision.
What are your suggestions for how [Participant Name] can make improvements
in Vision?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.