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. Is committed to the success of the client.
  1. Keeps the client informed of all progress.
  1. Exceeds expectations of the clients.
  1. Demonstrates a commitment to client focus.
  1. Transparent in all communications with the client.
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. Writes complete and developmentally-oriented performance appraisals with clear goals, using SMART criteria
  1. Makes the complex simple.
  1. Confidently communicates across all organizational levels, including external stakeholders.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Produces written content that is both succinct and orderly.
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. Demonstrates sincerity in actions with others.
  1. Fosters an environment built upon trust.
  1. Accepts responsibility for mistakes.
  1. Protects the integrity and confidentiality of information
  1. Develops trust and confidence from others.
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. Conducts appointments at scheduled start time.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
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. Assigns tasks to create learning opportunities for the employees.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Defines the roles, responsibilities, required actions, and deadlines for team members.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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. Makes judgments based upon relevant information.
  1. Actively seeks the root cause of a problem.
  1. Generates alternative solutions to problems and challenges.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Skilled at quickly diagnosing issues, identifying root causes, and developing and implementing effective solutions in the workplace.
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. Prioritizes tasks for efficiency.
  1. Ranks the importance of tasks to make sure critical tasks are completed first.
  1. Builds in extra time in the schedule for unplanned events/occurrences.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Uses a scheduler/planner to keep tasks organized and on time.
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. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
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. Recognizes the abilities and skills of self and others
  1. Finds opportunities to recognize others.
  1. Compliments other people when they do good work
  1. Says "thank you" to show appreciation for work of others.
  1. Readily shares credit and gives others opportunity for visibility.
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. Maintains a high level of energy to respond to demands of the job.
  1. Encourages risk taking for developing potential business opportunities.
  1. Excellent at managing relationships with stakeholders.
  1. Has a strategic awareness on how to promote the organization.
  1. Understands the processes and various stages of business development.
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. Anticipates problems that may affect the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Gets things done through the department.
  1. Understands the current organizational culture.
  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.