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Client Focus - 360 Degree Feedback Survey Sample #2





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Self-Assessment Instructions

You have been asked to complete a self-assessment questionnaire form (shown below). You will also receive feedback from others such as your peers, direct reports and manager. 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 as an employee over the last twelve months and the goals you were asked to achieve. 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 become part of the assessment process to foster your growth and on-going development.

Competencies Included:
Client Focus, Action, Self Management, Professional Development, Administrative Skill, Excellence, Empowering Others, Conflict Management, Strategic Insight, Entrepreneurship
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
Edit this Survey
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Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You make client's needs a top priority.
  1. You are pro-active in dealing with clients and addressing your needs.
  1. You provide a high level of service to clients.
  1. You ensure clients are comfortable with the services provided.
  1. I foster an environment that supports strong client focus.
What are your suggestions for how you can make improvements
in Client Focus?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I complete tasks on time in spite of delays in the process.
  1. I seek new opportunities for advancement.
  1. I create innovative products and services.
  1. You successfully identify the right person for a job when distributing tasks.
  1. You adapt your approach in order to overcome significant obstacles.
What are your suggestions for how you can make improvements
in Action?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You do not allow own emotions to interfere with the performance of others.
  1. You use patience and self-control in working with customers and associates.
  1. You consciously control own negative emotions in order to keep team morale up.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You step away from a situation to process appropriate response.
What are your suggestions for how you can make improvements
in Self Management?

Professional Development

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You seek opportunities for continuous learning.
  1. You are contributing fully to the extent of your skills
  1. You seek opportunities for professional development.
  1. You demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You quickly acquire and apply new knowledge and skills when needed
What are your suggestions for how you can make improvements
in Professional Development?

Administrative Skill

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You have a high attention to detail.
  1. You complete reports on-time.
  1. You are enthusiastic about taking on challenging projects.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You have strong technical/computer skills.
What are your suggestions for how you can make improvements
in Administrative Skill?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You take a lot of pride in your work.
  1. You can be counted on to add value wherever you are involved.
  1. You produce high quality work.
  1. You are planful and organized.
  1. You keep yourself and others focused on constant improvement.
What are your suggestions for how you can make improvements
in Excellence?

Empowering Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I encourage employees to expand their skills in order to take on greater responsibilities.
  1. I value the opinions of others.
  1. I coordinate the knowledge, skills and resources of others to accomplish more in the department.
  1. You avoid micromanaging your employees.
  1. You are willing to share in the decision making process.
What are your suggestions for how you can make improvements
in Empowering Others?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You establish roles and responsibilities of team members.
  1. I ensure fair treatment for both parties, giving each the chance to speak and share their viewpoints.
  1. I actively engage both parties to voluntarily collaborate and resolve their differences.
  1. You settle disputes resulting in a win-win for both parties.
  1. I address contentious issues earlier rather than later.
What are your suggestions for how you can make improvements
in Conflict Management?

Strategic Insight

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I pursue strategic alliances with valued partners.
  1. You analyze unique issues or problems impacting the Company.
  1. You let employees know how their roles contribute toward the achievement of strategic company objectives.
  1. I attend industry conferences to gain further insight into how other companies deal with similar issues.
  1. You work with others to develop insights into the resources and actions required to produce desired results.
What are your suggestions for how you can make improvements
in Strategic Insight?

Entrepreneurship

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. You exhibit determination and passion in completion of goals.
  1. You balance risks and rewards when making decisions.
  1. You have a strategic awareness on how to promote the organization.
  1. You are comfortable operating in an environment of uncertainty.
  1. You encourage dynamic growth opportunities.
What are your suggestions for how you can make improvements
in Entrepreneurship?


  1. Strengths


  2. Areas for Development


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