Regulatory/Compliance - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Regulatory/Compliance:
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)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Regulatory/Compliance, Entrepreneurship, Company, Flexibility, Establishing Focus/Direction, Supervisory Skills, Persuasion and Influence, Analytical, Innovation, Juggling Multiple Responsibilities
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.


Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You create and maintain necessary regulatory documentation.
  1. You know who to contact at various regulatory agencies if needed.
  1. You ensure the company meets legal requirements/standards regarding employees.
  1. You understand the applicable regulations and laws that impact our business.
  1. You offer training to employees to ensure they are complying with regulations.
What are your suggestions for how you can make improvements
in Regulatory/Compliance?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You balance risks and rewards when making decisions.
  1. You have a strategic awareness on how to promote the organization.
  1. You find unique ways to go around barriers to success.
  1. You are able to adapt the department to changing business demands and climate.
  1. You understand the processes and various stages of business development.
What are your suggestions for how you can make improvements
in Entrepreneurship?

Company

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You express loyalty and dedication to [Company] in interactions with others.
  1. You understand how decisions impact other business units beyond your immediate department of work group.
  1. You understand the use of [Company] products and services.
  1. You understand the "basics" as to how [Company] functions/operates.
  1. You attend [Company] gatherings and social events.
What are your suggestions for how you can make improvements
in Company?

Flexibility

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You adapt to circumstances as needed.
  1. You are open to the perspectives/viewpoints of others.
  1. You implement changes as a result of having listened to employees
  1. You identify new opportunities to achieve goals
  1. You encourage others to adopt new procedures.
What are your suggestions for how you can make improvements
in Flexibility?

Establishing Focus/Direction

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You stay focused even when under pressure and stress.
  1. You help guide employees with prioritizing tasks.
  1. You function well under stress, deadlines, and/or significant workloads.
  1. You set appropriate goals for employees.
  1. You are excellent at managing time.
What are your suggestions for how you can make improvements
in Establishing Focus/Direction?

Supervisory Skills

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I consider diverse perspectives during the disciplinary process.
  1. I listen to the concerns of employees.
  1. I coach and mentor others to achieve higher performance levels.
  1. I understand the importance of good performance management.
  1. I set a good example for others to follow.
What are your suggestions for how you can make improvements
in Supervisory Skills?

Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You seek to obtain consensus or compromise.
  1. You attempt to persuade others rather than simply control them.
  1. You ensure stakeholders are involved in the decision making process.
  1. You have excellent influencing/negotiating skills.
  1. You communicate effectively with others.
What are your suggestions for how you can make improvements
in Persuasion and Influence?

Analytical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You analyze data and information from several sources and arrives at logical conclusions.
  1. You balance risks and costs with the reward and probabilities of success when decisions.
  1. You analyze issues and reduce them to their component parts.
  1. You ask the "right" questions to size up or evaluate situations.
  1. You identify problems and issues needing resolution.
What are your suggestions for how you can make improvements
in Analytical?

Innovation

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You challenge current procedures to develop other alternatives.
  1. You foster a creative and innovative work environment.
  1. You create improved methods or solutions for meeting goals and objectives.
  1. You offer constructive improvements to existing systems.
  1. You analyze current procedures and identify opportunities for improvement.
What are your suggestions for how you can make improvements
in Innovation?

Juggling Multiple Responsibilities

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You integrate developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. You prioritize tasks for efficiency.
  1. You determine which tasks are critical and which tasks are optional.
  1. You are aware of the deadlines for specific tasks/assignments.
  1. You recognize and respond to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
What are your suggestions for how you can make improvements
in Juggling Multiple Responsibilities?


  1. Strengths


  2. Areas for Development


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