Regulatory/Compliance - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of this manager's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Reviews anti-retaliation policies to ensure compliance with government standards.
Reviews documentation, processes and practices.
Creates a standardized response protocol for responding to compliance related issues.
Offers training to employees to ensure they are complying with regulations.
Develops strategies to comply with established regulations.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Anticipates critical incidents in the department and takes steps to mitigate their effect.
Moves forward on important projects.
Fixes small issues before they become critical incidents.
Is decisive when making decisions.
Assigns tasks to individuals who are most able to perform them.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?
Self Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Contributing fully to the extent of their skills
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is ready to offer help
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Keep staff informed about what is happening in the company
Delegate tasks effectively
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Works toward achieving established goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Communicates goals and objectives to employees.
Consistently provides me with timely feedback for improving my performance.
Ability to establish realistic goals.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to formulate and implement a vision for the future of the department.
Facilitates employees' adoption of the organization vision.
Assigns the vision implementation to team members.
Creates and executes a strategic vision that propels the department forward.
Develops an inspiring and ambitious vision for the organization's future.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.