Regulatory/Compliance - 360 Degree Feedback Survey Sample #8

Instructions

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of '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.

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

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Creates and distributes code of ethics and code of conduct.
Follows up on any unresolved compliance issues.
Creates a standardized response protocol for responding to compliance related issues.
Creates documents and reports as needed to maintain compliance with regulations.
Complies with regulatory requirements for the state.
Managing Risk	Agree	Unsure	Disagree	N/A
Determines which are the serious threats.
Develops appropriate strategies to minimize risks.
Perceives the risks of different work tasks and activities.
Able to adapt quickly to changing situations.
Takes steps to reduce the occurrence of the risk events.
Administrative Skill	Agree	Unsure	Disagree	N/A
Has strong technical/computer skills.
Takes responsibility for decisions.
Accurately implements contract provisions.
Completes reports on-time.
Strong organizational skills to keep the workspace and department in order
Continual Learning	Agree	Unsure	Disagree	N/A
Builds on their strengths while addressing their weaknesses.
Shares best practices with others and learns from others.
Views setbacks as opportunities to learn from.
Participates in regular training offered.
Sets relevant learning objectives and goals.
Attitude	Agree	Unsure	Disagree	N/A
Treats all people fairly and with respect.
Contributes to a positive and fun work environment.
Shows by their actions that they trust in the positive intentions of others.
Builds open and trusting relationships.
Works to eliminate unnecessary work or barriers that get in others' way.
Time Management	Agree	Unsure	Disagree	N/A
Takes the initiative to tackle critical issues earlier rather than later.
Is proactive in addressing important issues.
Is good at keeping track of time and avoiding getting behind schedule.
Frequently arrives early to start the day.
Is concerned about adhering to the schedule.
Results Oriented	Agree	Unsure	Disagree	N/A
Ensures the team understands the objective that needs to be completed.
Completes work on time.
Produces a high volume of work.
Measures progress toward the goal.
Overcomes obstacles to continue working toward goals.
Safety	Agree	Unsure	Disagree	N/A
Supports safety programs and procedures.
Develops safety guidelines for the department.
Creates accurate and effective measures of safety.
Encourages others to attend safety training.
Develops a strong safety culture.
Co-worker Development	Agree	Unsure	Disagree	N/A
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Works to identify root causes of performance problems
Provides ongoing feedback to co-workers on their development progress
Adapts coaching and mentoring approach to meet the style or needs of individuals
Others	Agree	Unsure	Disagree	N/A
Respects the opinions of other employees.
Helpful
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Global Perspective	Agree	Unsure	Disagree	N/A
Accepts setbacks and challenges in foreign markets as improvement opportunities
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Aligns personal vision with global strategies.
Has positive interactions with individuals from different cultures and backgrounds.
Creates an environment where individual differences are valued and supported.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.