Regulatory/Compliance - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. 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 be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

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.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You follow all safety regulations and procedures.
You maintain compliance with federal, state, and local laws.
You address issues quickly before they develop into major problems.
You keep up-to-date with legislation affecting employees.
You perform regular compliance audits.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You encourage risk taking and experimentation to improve performance
You complete work on time
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You identify ways to simplify work processes and reduce cycle times
You motivate others to achieve or exceed goals
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You guide decision-making by coaching, counseling and rewarding.
You take ownership and accountability for results
You act decisively in implementing decisions.
You are able to align manpower, design work, an allocate tasks to achieve goals.
You are a highly effective supervisor.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You make sure that team members have a clear idea of our group's goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You set high expectations and goals; encourages others to support the organization.
You achieve established goals.
You understand and contribute to development of strategic goals.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You deliver on promises made.
You work in a way that makes others want to work with you.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You are trustworthy; is someone that can be trusted.
You take care to maintain confidential information.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You give feedback to the customer regularly.
I keep the customer informed of all progress.
I build products that meet the unique needs of each customer.
You focus on providing excellent customer service.
You received good feedback from customers.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You research the needs of the other party to identify strengths and weaknesses of positions.
You conduct necessary preparations before engaging in negotiations.
You are able to say "no" when it is essential to maintaining quality and high standards.
You actively listen to conversations to be able to recall important details later.
You identify verbal and nonverbal cues to help interpret actions and messages.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You create a SWOT matrix to help analyze data.
I determine the best approach to achieving desired goals.
I develop strategies that are practical and can be feasibly implemented within a reasonable period of time.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You are able to formulate strategy at the corporate level.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I prioritize tasks based on urgency/need.
You assign the right tasks to the right people and holds them accountable.
You involve relevant coworkers in the development of the plan.
You make plans and follows through.
You purchase equipment and software that will be needed in the future.

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

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

    
    
47. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
48. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
49. Additional comments, if any for [Participant Name Here]'s assessment.