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Accountability - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Accountability, Management, Performance, Initiative, Managing Risk, Regulatory/Compliance, Responsible, Organizational Fluency
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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



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Accountability

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Accepts personal responsibility for their actions.
  1. Consults with the supervisor before engaging in new procedures that have some risk.
  1. Provides clear reasons for underperformance.
  1. Always starts work on time.
  1. Consistently strives to complete work on time or ahead of schedule.
Please feel free to provide any comments to help explain your answers?

Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Models a strong work ethic that elevates team morale and performance.
  1. Willing to takes on challenging questions and provides honest answers.
  1. Determines the staff needs for the project.
  1. Demonstrates emotional self-awareness and control when navigating tense or high-stakes situations.
  1. Uses discipline as a tool for growth, focusing on feedback and learning rather than punishment.
Please feel free to provide any comments to help explain your answers?

Performance

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. ...Overall Performance
  1. Effective in performing his/her job.
  1. Shown significant improvement in job performance.
  1. ...Produce Quality
  1. Has great overall performance
Please feel free to provide any comments to help explain your answers?

Initiative

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Seizes upon chances to improve the department's prospects.
  1. Immediately works on solving problems.
  1. Acts with urgency when time is limited.
  1. Begins a task and follows through until completion.
  1. Cleans the workspace without being told.
Please feel free to provide any comments to help explain your answers?

Managing Risk

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. Has the knowledge and skills to accurately identify risks in the workplace.
  1. Ensures employees are aware of potential impacts by increasing risk visibility.
  1. Uses risk data to generate insights and drive strategic decisions.
  1. Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
  1. Creates dynamic and responsive enterprise risk management processes.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Coordinates with legal counsel in conducting audits of legal compliance.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Submits complete applications for necessary certifications.
  1. Creates and distributes code of ethics and code of conduct.
  1. Develops and implements appropriate reporting channels.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
  1. ...takes personal responsibility for results.
  1. Completes assigned work tasks.
  1. Responsible for setting the vision of the department.
  1. Sets a good example
  1. Acts as a resource without removing individual responsibility.
Please feel free to provide any comments to help explain your answers?

Organizational Fluency

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Understands departmental policies and procedures.
  1. Understands the current organizational culture.
  1. Anticipates problems that may affect the department.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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