Regulatory/Compliance - 360 Degree Feedback Survey Sample #5

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.

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
Explains regulations and procedures to others as required.
Ensures regulations are followed as required.
Understands and adheres to internal and external regulations.
Maintains a state of readiness to address new and changing regulations and procedures.
Addresses issues quickly before they develop into major problems.
Adaptability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is proactive and takes steps to prepare for changes in the workplace.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Is flexible and open minded in dealing with others.
Develops insights and applies innovative solutions to projects and problems.
Feedback	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Looks to others for input.
Open to the suggestions of others.
Asks others for their ideas and opinions.
Considers other's opinion and suggestions.
Seeks feedback to enhance performance.
Managing Performance	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Sets specific and measurable goals for others and follows through to completion.
Addresses grievances sooner rather than later.
Sets and maintains high standards for self and others.
Makes sure commitments are understood and met.
Recognizes and values good performance.
Quality	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Always strives to produce the highest quality work products.
Holds employees accountable for their quality of work.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
Encourages employees to produce the best quality products.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Asks the 'right' questions to size up or evaluate situations.
Able to align resources to meet the business needs of the company.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Understands complex issues and problems.

31. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
32. Strengths
    
    
    
33. Areas for Development
    
    
    
34. Please give any final comments or suggestions for 's assessment.