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 explain regulations and procedures to others as required.
You understand the applicable regulations and laws that impact our business.
You perform audits regularly, or without notice, to ensure proper compliance with regulations.
You address issues quickly before they develop into major problems.
You ensure regulations are followed as required.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You display high energy and enthusiasm on consistent basis.
You convey a sense of urgency about addressing problems and opportunities
You motivate others to achieve or exceed goals
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take ownership and accountability for results
You are able to influence others.
You demonstrate leadership and courage in critical situations.
You are a highly effective supervisor.
You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You set challenging stretch 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 make sure that I have a clear idea of our group's goals.
You achieve goals.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take ownership, deliver on commitments
You take care to maintain confidential information.
You work in a way that makes others want to work with you.
You communicate an understanding of the other person's interests, needs and concerns.
You are a person others can count on.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop strong customer relationships.
You consider customers point of view when making decisions.
You do not hesitate to address customer concerns or complaints.
You develop good rapport and trust with the customer.
You ensure all customer commitments and requirements are met or exceeded.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are able to clearly express thoughts and concerns.
You stay calm and focus on the core issues to be discussed.
You leverage relationships with others to achieve goals.
You maintain communication channels between parties in the negotiation.
You conduct necessary preparations before engaging in negotiations.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You focus attention on treating the causes of problems rather than simply addressing the symptoms.
You understand and contribute to development of strategic goals.
You look for opportunities to enhance contributions to the bottom line.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
You make plans and follows through.
You delegate role to team members to accomplish goals.
You anticipate obstacles and ways to overcome them.
You are able to identify the needs of the department before a major change.

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.