Accountability - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

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 Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

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Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Accepts personal responsibility for producing high quality and timely work.
Understands the importance of holding employees accountable for their work.
Upholds ethical standards even when no one is watching.
Takes charge of addressing and solving problems.
Takes responsibility for seeing the project through to completion.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Allocates resources strategically to areas with higher risk potential.
Actively seeks the root cause of a problem.
Able to solve problems that involve political biases, conflicting evidence, and/or lack of data.
Chooses a diverse group with relevant expertise and perspectives for a brainstorming session.
Focuses solutions on closing the gap between expected outcomes and the current situation.
Creativity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures that employees have the opportunity to experience new and different things to spark their creativity.
Encourages exploration of unconventional approaches.
Seeks out diverse viewpoints to enrich creative problem-solving.
Creates an atmosphere where creative energy thrives.
Reflects on new learning to inspire imaginative thinking.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Always works to improve the processes and procedures.
Prioritizes time management and coordination, ensuring high-value tasks are addressed efficiently.
Strives for operational excellence by refining workflows and optimizing procedures.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Implements standardized processes and procedures to help others achieve success.
Regulatory/Compliance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates documents and reports as needed to maintain compliance with regulations.
Is aware of the documents and reports needed to maintain compliance with regulations.
Complies with regulatory requirements for the state.
Creates and maintains necessary regulatory documentation.
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates resources needed to meet the client needs.
Understands what resources are needed to meet client needs.
Treats clients with courtesy and respect.
Able to handle difficult clients.
Is committed to the success of the client.
Strategic Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates deadlines for various components of the strategy.
Understands how to achieve strategic financial objectives.
Understands how to grow the business and increase customers.
Exploits resources and capabilities strategically to increase production and responsiveness.
Avoids complacency and strives to be ahead of changes in the business environment.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.