Client Focus - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team

Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forms strong client relationships
Obtains feedback to ensure client needs are being met.
Is pro-active in dealing with clients and addressing their needs.
Satisfies client needs.
Maintains strong relationships with clients.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Partners with peers to obtain influence within the Company.
Creates value within the Company by building networks.
Seeks to reduce institutional roadblocks to information sharing.
Maintains infrastructure to support partnerships and networks.
Supports a partnering/networking culture.
Professional Development	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Quickly acquire and apply new knowledge and skills when needed
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters a diverse workforce free from discrimination and harassment.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Respects others regardless of age, race, gender, nationality, or disability.
Treats others with dignity and respect.
Seeks out different viewpoints and benefits from different perspectives.
Project Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to adjust project schedule as needed to accommodate unforeseen issues.
Works with customers and clients to assess their needs and define project parameters.
Develops action items, workplans, timelines, and criteria for projects.
Organizes, plans, and directs resources to accomplish the goals and objectives.
Maintains costs and expenses within budget limits.
Innovation	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Solves problems with insight and understanding.
Creates a safe environment for idea-sharing.
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works within constraints of the organization.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Tracks and monitors incidents that may increase the risk of adverse consequences.
Seeks to retain the best and brightest employees.
Seeks to increase safety in the workplace.
Business Acumen	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Monitors spending.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.