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)
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.


Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. I am competent in handling difficult clients.
  1. You help others in responding to client needs.
  1. I am committed to the success of the client.
  1. I am competent in managing client projects.
  1. You help clients feel they are receiving services tailored specifically to their needs.
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 act immediately instead of waiting for someone else to solve the issue.
  1. I take responsibility for actions.
  1. I am the first to volunteer for assignments.
  1. You regularly conduct preventative maintenance on the equipment.
  1. I overcome obstacles that may impede progress on a task.
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 step away from a situation to process appropriate response.
  1. You use patience and self-control in working with customers and associates.
  1. You do not allow own emotions to interfere with the performance of others.
  1. You analyze interpersonal problems instead of reacting to them.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
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 allow employees to fully participate in employee training and 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
  1. You seek opportunities for professional development.
  1. You encourage employees to take courses relevant to their job.
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 strong technical/computer skills.
  1. You accurately implement contract provisions.
  1. You complete reports on-time.
  1. You are enthusiastic about taking on challenging projects.
  1. You are able to develop, justify and present a budget.
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 demonstrate the analytical skills to do your job.
  1. You keep yourself and others focused on constant improvement.
  1. You are planful and organized.
  1. You take a lot of pride in your work.
  1. You can be counted on to add value wherever you are involved.
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. You allow employees to make their own decisions.
  1. I acknowledge and appreciate employees for their proactive decision-making.
  1. I empower employees to structure their work hours to maximize their productivity.
  1. I assign important tasks to subordinates.
  1. You enable team members to make their own decisions on the project.
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. I attentively listen to each person as they share their distinct viewpoints on the matter.
  1. I seek to maintain positive relationships with coworkers.
  1. I resolve grievances through a better understanding and appreciation of what each side needs.
  1. I avoid engaging in conflicts over minor workplace matters.
  1. You value the diverse perspectives of others.
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. You ommunicate with employees to find out their needs.
  1. You create a mission statement describing the purpose for the organization.
  1. You identify potential problems before they become critical incidents.
  1. You implement long-term solutions to problems.
  1. I observe employees at work to get better insight into the issues they are dealing with.
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 can work effectively in an environment of uncertainty.
  1. You take the initiative to complete tasks.
  1. You are excellent at managing relationships with stakeholders.
  1. You maintain a high level of energy to respond to demands of the job.
  1. You understand the processes and various stages of business development.
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.