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.
I used software tools to monitor compliance and track issues to help identify and respond to non-compliance.
I conduct necessary risk assessments.
I perform annual/monthly compliance audits.
You maintain historical records and documents as needed/required.
Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You display high energy and enthusiasm on consistent basis.
You encourage risk taking and experimentation to improve performance
You complete a large volume of work.
You identify ways to simplify work processes and reduce cycle times
You seek and utilize opportunities for continuous learning and self-development.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You demonstrate leadership and courage in critical situations.
You effectively lead others.
You are a highly effective supervisor.
You are able to influence others.
You are able to organize the work of others.
Goals	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You establish and document goals and objectives.
You make sure that I have a clear idea of our group's goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You understand and contribute to development of strategic goals.
You set challenging stretch goals
Trustworthy	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You take ownership, deliver on commitments
You demonstrate a sense of responsibility and commitment to public trust.
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.
You take care to maintain confidential information.
Customer Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am transparent in all communications with the customer.
You help others in responding to customer needs.
I am committed to resolving customer issues in a positive way.
You create innovative solutions to meet customer needs.
You put customer's needs first.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You leverage relationships with others to achieve goals.
You establish clear communications to avoid misunderstandings.
I keep a firm grasp on the issues and priorities.
I use the motivations of each party to identify mutually advantageous solutions.
I understand the other person's needs, concerns, and motivations.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I can successfully implement a strategic plan.
You align projects to the strategic goals of the company.
I develop high-level strategic planning models to identify opportunities to improve the company.
I strategically position resources to meet the needs of branch locations.
I exploit resources and capabilities to strategically increase production and responsiveness.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I can adjust and rearrange the schedule to maximize efficiency.
You anticipate resources needed to successfully implement a plan or project.
You work in an organized manner
I determine the allocation of funds based on plans for future development.
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.