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
Maintains strong relationships with clients.
Forms strong client relationships
Satisfies client needs.
Looks for opportunities that have a positive impact on Clients.
Obtains feedback to ensure client needs are being met.
Cultural Awareness	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Respects others regardless of age, race, gender, nationality, or disability.
Values the opinions of diverse groups and individual.
Recognizes and values individual and cultural differences.
Treats others with dignity and respect.
Encourages a work environment where individual differences are valued.
Leadership	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to influence others.
Takes ownership and accountability for results
Acts decisively in implementing decisions.
Highly effective supervisor.
Effectively leads others.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Shown significant improvement in job performance.
Works well in this position.
Has great overall performance
Works effectively in the department.
Able to organize work.
Commitment To Result	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains persistence and dedication to achieving results.
Encourages commitment in others to obtain results.
Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Coordinates all department activities into a cohesive team effort.
Committed to the team.
Trustworthy	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a person you can trust.
Demonstrates a sense of responsibility and commitment to public trust.
Demonstrates congruence between statements and actions.
Is trustworthy; is someone I can trust.
Consistently keeps commitments.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops employees by offering and encouraging them to take on new or additional responsibilities.
Sets performance objectives for subordinates that encourages development opportunities.
Is open to receiving feedback.
Supports the successes of other employees.
Recognizes and celebrates accomplishments of others.
Business Acumen	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Considers impact of actions on other areas of the organization.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Organizational Fluency	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Adept at navigating within the culture of the department.
Understands the current organizational culture.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
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: