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
I ensure operations meet government and industry requirements/standards.
You are familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
I coordinate the execution of compliance strategies across departments.
I coordinate internal and external audit procedures.
I track employee participation in development opportunities as required by industry regulations.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You complete a large volume of work.
You complete work on time
You identify ways to simplify work processes and reduce cycle times
You seek and utilize opportunities for continuous learning and self-development.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You sit down regularly with employees to review your job performance.
You provide resources to enable individuals to develop professionally.
You are a highly effective supervisor.
You hold others accountable for your actions.
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 make sure that team members have a clear idea of our group's goals.
You make sure that I have a clear idea of our group's goals.
You understand and contribute to development of strategic goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You achieve established goals.
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You consistently keep commitments.
You work in a way that makes others want to work with you.
You are trustworthy; is someone that can be trusted.
You seek to mitigate grievances by clarifying intentions and finding suitable remedies.
You communicate an understanding of the other person's interests, needs and concerns.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You engage with customers on multiple levels.
You anticipate potential obstacles to meeting customer needs.
You promote, implement, maintain and enhances relationships with customers.
You focus on providing excellent customer service.
You help customers to feel satisfied with our work/services.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maintain communication channels between parties in the negotiation.
You aim for solutions that benefit both parties.
You manage emotions to reduce the impact of negativity.
I understand the other person's needs, concerns, and motivations.
You adapt strategies to better meet the needs of the moment.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You ensure the department has a viable strategy for moving forward.
You develop an organizational strategy for each functional area within the mission statement.
You turn strategic priorities into action plans.
I identify business strategies to strengthen competitive capabilities.
I develop high-level strategic planning models to identify opportunities to improve the company.
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.
I encourage others to follow the plan.
I accurately estimate the duration of tasks.
I can develop an effective plan to guide the project.
I can create effective logistics plans to achieve high operational efficiency.

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.