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Regulatory/Compliance - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team



Regulatory/Compliance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.
  1. Is professional and courteous in interactions with auditors and regulators.
  1. Offers training on various subjects to help ensure employees are aware of regulations.
  1. Implements regulatory changes in a timely manner.
  1. Knows who to contact at various regulatory agencies if needed.


Adaptability

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is proactive and takes steps to prepare for changes in the workplace.
  1. Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Is flexible and open minded in dealing with others.
  1. Able to work effectively with new people and new teams.


Feedback

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Shares past experiences with others as learning opportunities.
  1. Accepts the views of others.
  1. Is easy to approach with ideas and opinions.
  1. Considers other's opinion and suggestions.
  1. Actively seeks feedback from others.


Managing Performance

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Sets specific and measurable goals for others and follows through to completion.
  1. Routinely holds audits of performance on a weekly or monthly basis.
  1. Ensures that team goals are met 85 percent of the time.
  1. Acknowledges employee contributions that support the bottom line.
  1. Sets long and short term goals.


Quality

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages others to produce the highest quality work products.
  1. Analyze what occurred and re-adjusts accordingly when goals are not met.
  1. Corrects issues in a timely manner.
  1. Encourages others to achieve high quality standards.
  1. Holds employees accountable for their quality of work.


Business Acumen

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization
  1. Understands complex issues and problems.
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Able to align resources to meet the business needs of the company.



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






  2. Strengths


  3. Areas for Development


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