Regulatory/Compliance - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Regulatory/Compliance	Definite Strength	Meets Standards	Needs Development	N/A
You ensure the company meets legal requirements/standards regarding employees.
You create and maintain necessary regulatory documentation.
You follow all safety regulations and procedures.
You act in compliance with all federal, state, and local laws.
You ensure regulations are followed as required.
Accountability	Definite Strength	Meets Standards	Needs Development	N/A
You act like an owner when they make decisions.
You accept responsibility for outcomes.
You take ownership of mistakes and learn from them.
You are someone who is trustworthy.
You tackle issues head on and finds solutions.
Continual Improvement	Definite Strength	Meets Standards	Needs Development	N/A
You identify opportunities to improve workflow processes through the better use of technology.
You encourage an employee culture of continuous improvement to seek out better ways of doing things.
You evaluate the effectiveness of improvements.
You analyze processes to determine areas for improvement.
You investigate the root causes of problems.
Management	Definite Strength	Meets Standards	Needs Development	N/A
You delegate tasks effectively
You make others feel enthusiastic about your work
You are ready to offer help
You set an example for others to follow
You keep staff informed about what is happening in the company
Delegation	Definite Strength	Meets Standards	Needs Development	N/A
You entrust subordinates with important tasks.
You select appropriate individuals to complete tasks.
You set clear and reasonable expectations for others and follows through on your progress.
You encourage and empower subordinates to use initiative in achieving goals and objectives.
You define the roles, responsibilities, required actions, and deadlines for team members.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You seek projects in areas outside immediate responsibilities.
You conduct timely follow-up; keeps others informed on a need to know basis.
You set challenging stretch goals
You understand and contribute to development of strategic goals.
You make sure that I have a clear idea of our group's goals.
Technical	Definite Strength	Meets Standards	Needs Development	N/A
You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
You know how to produce high quality products/work.
You seek information from others as needed.
You willingly share information and expertise; sought out as resource by others
You are knowledgeable of procedures or systems necessary for the job.
Trustworthy	Definite Strength	Meets Standards	Needs Development	N/A
You communicate an understanding of the other person's interests, needs and concerns.
You demonstrate congruence between statements and actions.
You take care to maintain confidential information.
You demonstrate a sense of responsibility and commitment to public trust.
You consistently keep commitments.
Customer Focus	Definite Strength	Meets Standards	Needs Development	N/A
You develop strong customer relationships.
You ask questions and listen carefully to determine customer needs and to ensure that the customer's needs are met.
You develop good rapport and trust with the customer.
You maintain positive customer relationships.
You do not hesitate to address customer concerns or complaints.
Teamwork	Definite Strength	Meets Standards	Needs Development	N/A
You are open to new ideas that may change own goals for benefit of the team
You demonstrate compassion and respect for others through actions; is concerned about your work and non-work issues
You share credit for accomplishments with team members
You carry your share of the workload
You provide assistance and support to other team members when needed
Organizational Fluency	Definite Strength	Meets Standards	Needs Development	N/A
You get things done through the department.
You anticipate problems that may affect the department.
You are able to use corporate politics to advance department objectives.
You understand the current organizational culture.
You are effective in communicating with others within the organization.

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.