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.

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 actively listen to concerns from clients.
  1. You help clients feel they are receiving services tailored specifically to their needs.
  1. I promptly respond to clients.
  1. You consistently exceed client expectations.
  1. I provide a responsive service that meets the needs of clients.
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 establish the tasks and direction for the team.
  1. I am the first to volunteer for assignments.
  1. I take responsibility for meeting performance standards.
  1. I am ambitious when working on the project.
  1. You look for extra ways to help the department achieve performance goals.
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 analyze interpersonal problems instead of reacting to them.
  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 set an example for associates during stressful periods by maintaining a positive, can-do attitude.
  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 demonstrate enthusiasm and a willingness to learn new skills and knowledge
  1. You encourage employees to take courses relevant to their job.
  1. You quickly acquire and apply new knowledge and skills when needed
  1. You seek opportunities for professional development.
  1. You allow employees to fully participate in employee training and professional development.
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 complete reports on-time.
  1. You accurately implement contract provisions.
  1. You have strong organizational skills to keep the workspace and department in order
  1. You have strong technical/computer skills.
  1. You are enthusiastic about taking on challenging projects.
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 demonstrate the analytical skills to do your job.
  1. You produce high quality work.
  1. You can be counted on to add value wherever you are involved.
  1. You demonstrate the functional or technical skills necessary to do your job.
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 give employees autonomy to complete tasks on their own.
  1. You ensure employees understand what is being assigned to them.
  1. I coordinate the knowledge, skills and resources of others to accomplish more in the department.
  1. You create opportunities for employees to exercise their independence.
  1. I encourage employees to make informed decisions based on their own judgment and reasoning.
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 attempt to accommodate vital interests of those who felt alienated or suffered injustice.
  1. I am responsive to contentious issues.
  1. I seek to remove misperceptions that may contribute toward conflict.
  1. You assist team members by helping them see the other point of view.
  1. You deal effectively with employee grievances.
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 strategically align projects to the goals of the company.
  1. You create values statements to ensure all employees are working under the same guiding principles.
  1. You work with others to develop insights into the resources and actions required to produce desired results.
  1. You develop a plan and strategy for each functional area within the mission statement.
  1. You identify root causes of problems.
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 maintain a high level of energy to respond to demands of the job.
  1. You seek and utilize mentors to help guide your professional development.
  1. You are comfortable operating in an environment of uncertainty.
  1. You exhibit determination and passion in completion of goals.
  1. You encourage risk taking for developing potential 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.