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

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Regulatory/Compliance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I coordinate the execution of compliance strategies across departments.
You explain regulations and procedures to others as required.
I establish clear communication channels and lines of communication for compliance related issues.
You comply with regulatory requirements for the state.
You maintain compliance with federal, state, and local laws.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You motivate others to achieve or exceed goals
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You complete work on time
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You encourage risk taking and experimentation to improve performance
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You provide resources to enable individuals to develop professionally.
You are a highly effective supervisor.
You recognize individual and team accomplishments and reward them appropriately.
You express clear goals and objectives.
You demonstrate leadership and courage in critical situations.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You establish and document goals and objectives.
You set high expectations and goals; encourages others to support the organization.
You set challenging stretch goals
You achieve goals.
You achieve established goals.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You consistently keep commitments.
You are trustworthy; is someone that can be trusted.
You work in a way that makes others want to work with you.
You take ownership, deliver on commitments
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am committed to the customer's success.
You anticipate potential obstacles to meeting customer needs.
You prioritize the needs and preferences of the customer.
You satisfy customer needs.
You use customer feedback to help improve products and services.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I understand the current situation of both parties.
You maintain control over emotions to ensure a constructive environment.
I identify tradeable interests that could facilitate reaching a consensus.
You know where to stand firm and where to compromise.
You collect information from various stakeholders, each with their own viewpoints, data, and interests.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I inspire employees to adopt the strategic plan.
You let employees know how their roles contribute toward the achievement of strategic company objectives.
You scan the environment for opportunities to exploit.
I develop a strategic vision for the future.
I use strategic thinking to make better strategic decisions.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I identify resource requirements that may impact the development of the 5-year plan.
You purchase equipment and software that will be needed in the future.
I anticipate the impacts of strategic plans.
You assign the right tasks to the right people and holds them accountable.
You delegate role to team members to accomplish goals.

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.