Client Focus - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Client Focus:
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)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve 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 and discussed with the employee to foster growth and on-going development.

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.

Competencies Included:
Client Focus, Communication Skills, Integrity, Punctuality, Delegation, Problem Solving, Juggling Multiple Responsibilities, Coaching, Recognition, Entrepreneurship, Organizational Fluency
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

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


Client Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Meets with clients on a regular basis.
  1. Effectively troubleshoots client issues.
  1. Takes the initiative in solving difficult client issues.
  1. Delivers high quality products to the client.
  1. Creates high quality products for the clients.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Uses software, graphics, or other aids to clarify complex or technical reports.
  1. Keeps open and regular communication with others.
  1. Presents information in a clear and logical format.
  1. An effective listener who is responsive to information needs.
  1. Conveys ideas confidently and succinctly.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Integrity

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Fosters an environment built upon trust.
  1. Fosters a high standard of ethics and integrity.
  1. Maintains strong relationships with others.
  1. Develops trust and confidence from others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?

Punctuality

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Maintains an efficient schedule of activities.
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
  1. Avoids making personal phone calls during working hours.
  1. Arrives to meetings on time.
If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Delegation

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Defines goals and objectives for subordinates.
  1. Clearly defines duties and tasks to be completed.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Allows subordinates to use their own methods and procedures.
If [Participant Name] were to make improvements in Delegation, what are your suggestions for how he/she can improve this?

Problem Solving

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is a good problem solver and decision maker
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
  1. Understands the root causes of problems.
  1. Makes judgments based upon relevant information.
  1. Implements effective solutions to critical problems.
If [Participant Name] were to make improvements in Problem Solving, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Organizes tasks for the most efficient order of completion.
  1. Spends the most time and effort on critical tasks first.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Switches attention to more urgent tasks when necessary.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Coaching

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Provides clear, motivating, and constructive feedback.
  1. Develops the skills and capabilities of others.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
  1. Conducts regular performance appraisals and feedback.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Recognition

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Readily shares credit and gives others opportunity for visibility.
  1. Recognizes individuals for a specific outstanding achievement.
  1. Finds opportunities to recognize others.
  1. Recognizes team members who offer a significant contribution to a project.
  1. Offers recognition in a timely manner.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Entrepreneurship

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Able to adapt the department to changing business demands and climate.
  1. Has a strategic awareness on how to promote the organization.
  1. Excellent at managing relationships with stakeholders.
  1. Balances risks and rewards when making decisions.
  1. Is comfortable operating in an environment of uncertainty.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?

Organizational Fluency

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Gets things done through the department.
  1. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
  1. Able to use corporate politics to advance department objectives.
  1. Adept at navigating within the culture of the department.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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