Client Focus - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Client Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps the client informed of all progress.
Uses client feedback to help improve products and services.
Anticipates resources needed to meet the client needs.
Obtains feedback to ensure client needs are being met.
Anticipates client needs.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Seeks out different viewpoints and benefits from different perspectives.
Helps other employees to become more culturally sensitive.
Acknowledges their own biases in cultural interactions.
Values the opinions of diverse groups and individual.
Views diversity as a strength, not as an issue.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to influence others.
Sits down regularly with employees to review their job performance.
Demonstrates leadership and courage in critical situations.
Motivates others to reach and exceed organizational goals and objectives.
Highly effective supervisor.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Works well in this position.
Effectively organizes resources and plans
...Overall Performance
Listens and responds to issues and problems
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Coordinates all department activities into a cohesive team effort.
Encourages commitment in others to obtain results.
Able to focus on a task even when working alone.
Takes immediate action toward goals.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Demonstrates a sense of responsibility and commitment to public trust.
Takes ownership, delivers on commitments
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Communicates an understanding of the other person's interests, needs and concerns.
Is trustworthy; is someone I can trust.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Provides constructive feedback to others.
Is open to receiving feedback.
Assesses employees' developmental needs.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Knows how to use financial information to make an impact on the organization.
Understands complex issues and problems.
Can effectively interpret and analyze data.
Can effectively interpret and analyze market data.
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Anticipates problems that may affect the department.
Gets things done through the department.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
49. What changes do you see [Company] making in order to raise the standards?
    
    
    
50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
51. What do you like best about working for [Company]?
    
    
    
52. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: