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Personal Accountability Questionnaire

Please take a moment to complete our survey. Rate your responses 1 for low and 10 for high.

First Name

Last Name

Email *

Phone *

1. To what degree do you achieve your performance goals on time with a high level of quality and customer satisfaction? *

Low 1

High 10

2. To what degree do you openly share information in a timely manner without over-sharing information or only sharing information on request? *

Low 1

High 10

3. To what degree do you freely support others within or outside of your team whether asked or not? *

Low 1

High 10

4. To what degree do you surface an issue directly with another person in a timely manner for resolution without talking behind their backs or ignoring them? *

Low 1

High 10

5. To what degree do you take ownership when a problem occurs and find a solution rather than blaming others? *

Low 1

High 10

6. To what degree do you seek out more responsibility and volunteer for tasks outside of your job description rather than only doing the minimal requirement? *

Low 1

High 10

7. To what degree do you surface problems in a timely manner with suggested solutions rather than complain or wait until it turns into a crisis? *

Low 1

High 10

8. To what degree do you talk positively about your team and others outside of your team, management and the organization as a whole? *

Low 1

High 10

9. To what degree do you compliment your teammates, management and others outside of your team for their efforts, achievements and positive attitude *

Low 1