Regulatory/Compliance - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

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. 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 aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Regulatory/Compliance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Follows all safety regulations and procedures.
Understands the applicable regulations and laws that impact our business.
Explains regulations and procedures to others as required.
Ensures regulations are followed as required.
Understands and adheres to internal and external regulations.
If were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets a good example.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
Behavior is ethical and honest.
Acts as a resource without removing individual responsibility.
If were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Able to align resources to meet the business needs of the company.
Understands complex issues and problems.
Asks the 'right' questions to size up or evaluate situations.
Considers impact of actions on other areas of the organization.
Applies the knowledge of work processes to influence the achievement of business goals
If were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Action	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Motivates & supports others to gain skills
Drives and mobilizes others progress toward goals.
Works quickly when faced with difficult problems.
Makes effective decisions, even when under pressure.
Does whatever it takes (within reason) to get the job done.
If were to make improvements in Action, what are your suggestions for how he/she can improve this?
Punctuality	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Responds to requests for information in a timely manner.
Invoices clients on a timely basis.
Avoids making personal phone calls during working hours.
Maintains an efficient schedule of activities.
Starts the workday when scheduled.
If were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?
Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Delegate tasks effectively
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Sets an example for others to follow
If were to make improvements in Management, what are your suggestions for how he/she can improve this?
Performance	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Works effectively in the department.
Effective in performing his/her job.
Able to organize work.
Listens and responds to issues and problems
...Overall Performance
If were to make improvements in Performance, what are your suggestions for how he/she can improve this?
Problem Solving	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Identifies and assesses all potential responses to a problem.
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
Solves problems using logic and insight.
Able to balance the needs of different people in a solution to a problem.
If were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?
Initiative	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Goes above and beyond the stated goals.
Immediately works to complete goals well before their deadline.
Prepares for unexpected contingencies.
Takes action without being asked.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
If were to make improvements in Initiative, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
If were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Excellence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Keeps themselves and others focused on constant improvement.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Produces high quality work.
Demonstrates the analytical skills to do their job.
If were to make improvements in Excellence, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.