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. You help others in responding to client needs.
  1. I tailor innovative products for each client.
  1. I anticipate the resources needed to meet the client needs.
  1. I ensure that commitments made to clients are completed to the client's satisfaction.
  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 make decisions confidently and stand by them.
  1. You work quickly to get the job done.
  1. You do whatever it takes (within reason) to get the job done.
  1. I take responsibility for meeting performance standards.
  1. You address performance issues quickly.
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 do not allow own emotions to interfere with the performance of others.
  1. You are aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. You use patience and self-control in working with customers and associates.
  1. You analyze interpersonal problems instead of reacting to them.
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 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 are contributing fully to the extent of your skills
  1. You keep yourself up-to-date of technical/professional issues
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 organizational skills to keep the workspace and department in order
  1. You accurately implement contract provisions.
  1. You take responsibility for decisions.
  1. You implement and use performance measures.
  1. You complete reports on-time.
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 are planful and organized.
  1. You demonstrate the functional or technical skills necessary to do your job.
  1. You can be counted on to add value wherever you are involved.
  1. You take a lot of pride in your work.
  1. You produce high quality work.
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 empower employees to structure their work hours to maximize their productivity.
  1. You give employees autonomy to complete tasks on their own.
  1. You recognize that employees may need flexibility in their working hours.
  1. I give employees the resources they need to complete the job.
  1. You trust employees to complete tasks assigned.
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 actively engage both parties to voluntarily collaborate and resolve their differences.
  1. I encourage both sides to make compromises to resolve the conflict.
  1. You examine differences and disagreements for creative and strategic resolutions.
  1. You identify areas of agreement and common ground to form basis of resolution.
  1. You determine what issues can be agreed upon.
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 allocate proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. I attend industry conferences to gain further insight into how other companies deal with similar issues.
  1. You identify potential problems before they become critical incidents.
  1. You ommunicate with employees to find out their needs.
  1. I inspire employees to adopt the strategic plan.
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 are comfortable operating in an environment of uncertainty.
  1. You balance risks and rewards when making decisions.
  1. You seek and utilize mentors to help guide your professional development.
  1. You devote a certain amount of time and effort to developing new business opportunities.
  1. You can work effectively in an environment of uncertainty.
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.