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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. I am competent in managing client projects.
  1. You anticipate problems that the client may encounter.
  1. You manage client accounts with high degree of competence.
  1. You demonstrate a commitment to client focus.
  1. I am persistent in solving client issues.
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. You regularly conduct preventative maintenance on the equipment.
  1. I maintain a sense of urgency in daily work routines.
  1. I am decisive when making decisions.
  1. You fixe problems when they occur.
  1. You stay committed to my goals even when progress is slow.
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 deal with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. You consciously control own negative emotions in order to keep team morale up.
  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.
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 demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You seek opportunities for professional development.
  1. You allow employees to fully participate in employee training and professional development.
  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 are enthusiastic about taking on challenging projects.
  1. You accurately implement contract provisions.
  1. You are able to develop, justify and present a budget.
  1. You take responsibility for decisions.
  1. You have strong organizational skills to keep the workspace and department in order
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 demonstrate the functional or technical skills necessary to do your job.
  1. You keep yourself and others focused on constant improvement.
  1. You produce high quality work.
  1. You are planful and organized.
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 recognize the expertise that employees have in certain areas and allow them the freedom to operate as they see fit.
  1. You trust employees to complete tasks assigned.
  1. I value the input from others.
  1. I allow employees the opportunity to take time off when needed.
  1. You let employees complete tasks according to their methods.
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 encourage individuals to modify their underlying work behaviors that may have contributed to the conflict.
  1. I ensure that the basic needs of each party are satisfied.
  1. I facilitate the resolution of grievances by fostering mutual understanding and appreciation of each party's needs.
  1. I seek to maintain positive relationships with coworkers.
  1. I view conflicts as opportunities to create constructive and novel solutions to problems.
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 have conversations with customers and clients to get a better insight into their personal needs.
  1. You analyze unique issues or problems impacting the Company.
  1. You ensure that the department's goals are strategically aligned with the company's goals.
  1. I observe employees at work to get better insight into the issues they are dealing with.
  1. You allocate proper resources for employee training to meet future needs based on insight into employee skill levels.
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 maintain a high level of energy to respond to demands of the job.
  1. You are comfortable operating in an environment of uncertainty.
  1. You understand the processes and various stages of business development.
  1. You devote a certain amount of time and effort to developing new business 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.