Regulatory/Compliance - 360 Degree Feedback Survey Sample #3





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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







Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Develops a confidential reporting system to enable employees to anonymously report safety violations.
  1. Conducts necessary risk assessments.
  1. Complies with trade agreements affecting international companies.
  1. Offers training on various subjects to help ensure employees are aware of regulations.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Completes a large volume of work.
  1. Completes work on time
  1. Motivates others to achieve or exceed goals
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Please feel free to provide any comments to help explain your answers?

Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Accurately perceives the emotional reactions of others.
  1. Is able to manage their own emotions.
  1. Able to understand others' points of view.
  1. Is able to control their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
Please feel free to provide any comments to help explain your answers?

Administrative Skill

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Takes responsibility for decisions.
  1. Enthusiastic about taking on challenging projects.
  1. Has strong technical/computer skills.
  1. Strong organizational skills to keep the workspace and department in order
  1. Able to develop, justify and present a budget.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Encourages others to work safely.
  1. Seeks to reduce the likelihood of accidents.
  1. Commits adequate resources toward safety measures.
  1. Keeps accurate safety records.
  1. Identifies predictable hazards in the workplace.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Demonstrates compassion and understanding of others.
  1. Respects other members of the team/department.
  1. Is a role model for others demonstrating the importance of interpersonal skills.
  1. Recognizes the contributions of others.
  1. Addresses critical customer issues in a timely manner.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Removes misperceptions that may be contributing to the conflict.
  1. Able to settle disputes equitably.
  1. Helps others to see perceptions that they have about an issue.
  1. Ensures that the basic needs of each party are satisfied.
  1. Identifies the root sources of conflict.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Understands how cultures differ and how these differences impact work behavior.
  1. Exemplifies the skills of a global worker.
  1. Builds working relationships with others across cultures.
  1. Sets the example for team on importance of cultural awareness.
  1. Facilitates open communication with individuals from other countries.
Please feel free to provide any comments to help explain your answers?

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






  2. Strengths


  3. Areas for Development


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