Regulatory/Compliance - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . 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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Regulatory/Compliance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides documents and reports as needed to maintain compliance with laws.
Understands the applicable regulations and laws that impact our business.
Complies with regulatory requirements for the state.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Is professional and courteous in interactions with auditors and regulators.
Self Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Uses patience and self-control in working with customers and associates.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Steps away from a situation to process appropriate response.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Passion To Learn	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is committed to enhancing their own knowledge and skills.
Creates an environment that supports personal development and exploration.
Takes initiative for own learning and development.
Demonstrates through personal behavior the commitment to high standards of performance.
Is open minded and curious about learning new skills.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Recognizes individual and cultural differences.
Is sensitive to the similarities and differences that exist between cultures.
Understands the impact that our culture may have on interactions between individuals.
Communicates with others without the influence of racism.
Recognizes and values individual and cultural differences.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Adds value to the department/organization.
Develops solutions to challenging problems.
Creates a lot of new ideas.
Project Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains costs and expenses within budget limits.
Responds quickly and appropriately to unforeseen problems.
Develops performance measures for various aspects of the project.
Organizes work and sets priorities as needed.
Regularly reviews project performance and goals.
Decision Making	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes creative decisions.
Defines what constraints must be met for the decision making process.
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Makes good decisions for the department.
Determines constraints that may impact what decisions are acceptable.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Assists team members by helping them see the other point of view.
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Strategic Insight	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Formulates policies and strategies for addressing the Company's important challenges.
Analyzes records and reports to obtain insight into potential issues and trends.
Communicates vision for the department and company.
Implements long-term solutions to problems.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    


48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    


49. What changes do you see [Company] making in order to raise the standards?
    
    


50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    


51. What do you like best about working for [Company]?
    
    


52. What do you like least about working for [Company]? How could it be improved?
    


93. Use the space below to enter any final comments you would like to be noted: