Regulatory/Compliance - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Regulatory/Compliance:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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.

Sample Result Document:
Sample Results
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.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .


Agree Unsure Disagree N/A
  1. Performs regular compliance audits.
  1. Offers training to employees to ensure they are complying with regulations.
  1. Maintains compliance with federal, state, and local laws.
  1. Creates documents and reports as needed to maintain compliance with regulations.
  1. Performs audits regularly, or without notice, to ensure proper compliance with regulations.

Managing Risk

Agree Unsure Disagree N/A
  1. Performs regular risk analyses to minimize adverse outcomes.
  1. Improves process safety where possible.
  1. Seeks to increase safety in the workplace.
  1. Maintains open communication with other departments.
  1. Seeks to maintain the long-term viability of the Company.

Administrative Skill

Agree Unsure Disagree N/A
  1. Implements and uses performance measures.
  1. Enthusiastic about taking on challenging projects.
  1. Strong organizational skills to keep the workspace and department in order
  1. Has strong technical/computer skills.
  1. High attention to detail.

Continual Learning

Agree Unsure Disagree N/A
  1. Takes charge of their training and skills enhancement.
  1. Improves on their skill sets.
  1. Sets relevant learning objectives and goals.
  1. Participates in regular training offered.
  1. Seeks opportunities to grow in skills and knowledge.


Agree Unsure Disagree N/A
  1. Visibly supports and encourages diversity in style and background.
  1. Builds open and trusting relationships.
  1. Contributes to a positive work environment.
  1. Contributes to a positive and fun work environment.
  1. Treats all people fairly and with respect.

Time Management

Agree Unsure Disagree N/A
  1. Prioritizes new tasks according to their relative importance.
  1. Leaves time in the schedule for unplanned contingencies.
  1. Sets a good balance between work and family life.
  1. Deals effectively with interruptions.
  1. Prioritizes tasks to identify immediate and long-term objectives.

Results Oriented

Agree Unsure Disagree N/A
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Explains the "whys" behind organizational objectives
  1. Inspires and motivates co-workers to be productive and energetic at work
  1. Directs team in prioritizing daily work activities


Agree Unsure Disagree N/A
  1. Participates in safety training when available.
  1. Points out behaviors in others that may be unsafe.
  1. Supports our company's safety programs.
  1. Ensures that all supervisors are aware of regulatory and compliance measures.
  1. Performs work safely.

Co-worker Development

Agree Unsure Disagree N/A
  1. Adapts coaching and mentoring approach to meet the style or needs of individuals
  1. Takes immediate action on poor performance
  1. Provides ongoing feedback to co-workers on their development progress
  1. Sets and clearly communicates expectations, performance goals, and measurements to others
  1. Works to identify root causes of performance problems


Agree Unsure Disagree N/A
  1. Helpful
  1. Able to see issues from others' perspectives.
  1. Includes others in the decision making processes.
  1. Forms working relationships with employees from other departments.
  1. ...treats others with respect and dignity.

Global Perspective

Agree Unsure Disagree N/A
  1. Able to work with others from different cultures and countries.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
  1. Collaborates with others respectfully and effectively with other people regardless of differences in cultural backgrounds.
  1. Considers customers point of view when making decisions.
  1. Cooperates with others on a global scale.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.