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 offer training to employees to ensure they are complying with regulations.
  1. I review the compliance program and recommends changes based on new industry trends.
  1. I prepare and present annual reports as required.
  1. I develop strategies to comply with established regulations.
  1. You provide documents and reports as needed to maintain compliance with laws.
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 understand the processes and various stages of business development.
  1. You take the initiative to complete tasks.
  1. You are able to adapt the department to changing business demands and climate.
  1. You maintain a high level of energy to respond to demands of the job.
  1. You exhibit determination and passion in completion of goals.
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 attend [Company] gatherings and social events.
  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 express loyalty and dedication to [Company] in interactions with others.
  1. You understand the "basics" as to how [Company] functions/operates.
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. I possess a high degree of flexibility to meet the challenges posed by unforeseen circumstances.
  1. You are open to alternative ways to accomplish goals
  1. I remain agile and responsive to address changing needs in a dynamic environment.
  1. I expand productive capacity as demand for services increases.
  1. You deliver a variety of products that vary in type and volume.
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 maintain self-control when personally criticized.
  1. You are excellent at managing time.
  1. You help guide employees with prioritizing tasks.
  1. You set appropriate goals for employees.
  1. You stay focused even when under pressure and stress.
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 maintain a calm demeanor when addressing stressful issues in the workplace.
  1. I provide guidance and support to help employees achieve their goals.
  1. I offer instructions and guidance to subordinates.
  1. I maintain professional interactions with peers, customers, and employees.
  1. I recognize those who have exceeded expectations.
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 attempt to persuade others rather than simply control them.
  1. You understand what others need.
  1. You are able to express own goals and needs.
  1. You communicate effectively with others.
  1. You ensure stakeholders are involved in the decision making process.
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 ask the "right" questions to size up or evaluate situations.
  1. You implement data validation techniques and methods.
  1. You select the appropriate techniques for analysis.
  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.
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 encourage open communication to ensure that all proposals are considered.
  1. You build upon the ideas and solutions of others.
  1. You take risks to advance important ideas.
  1. You create a safe environment for idea-sharing.
  1. You challenge current procedures to develop other alternatives.
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 keep track of multiple assignments and deadlines.
  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 coordinate the work of a team by assigning tasks to other team members.
  1. You spend the most time and effort on critical tasks first.
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.