Client Focus - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. 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 be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You use feedback from clients to help improve services.
You create high quality products for the clients.
You understand the needs of the client.
You deliver high quality products to the client.
I fulfill commitments made to clients.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You create a lot of new ideas.
You conceive, implement and evaluate ideas.
You are creative.
You develop solutions to challenging problems.
You add value to the department/organization.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You hold self and associates accountable for goal achievement.
You demonstrate a willingness to participate in continuing education courses.
You are open to feedback from others.
You constantly enhance product knowledge through experimentation and play.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You adapt coaching and mentoring approach to meet the style or needs of individuals
You provide ongoing feedback to co-workers on your development progress
You set and clearly communicate expectations, performance goals, and measurements to others
You work to identify root causes of performance problems
You take immediate action on poor performance
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You apply complex rules and regulations to maintain optimal system performance.
You understand and are committed to implementing new technologies.
You are proficient in the use of technical systems and processes.
You use technology in decision making and problem solving.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
Collaboration	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You create an environment to support free exchange of information.
You collaborate in time, effort, and expertise to help achieve success.
You work with others to manage conflicts using a constructive approach.
You share skills and time to help the team thrive.
You ensure relevant data is available to all committee members.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You determine the best strategy for achieving elevated levels of performance.
You communicate goals and objectives to employees.
Yoy scan both the internal and external environment to identify strategic opportunities to improve the organization.
You look for opportunities to enhance contributions to the bottom line.
You understand and contribute to development of strategic goals.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I make strategic and tactical decisions to guide the logistics process.
I can develop a strategic plan to reduce costs in the department.
I identify resource requirements that may impact the development of the 5-year plan.
I schedule staff based on seasonal needs.
I can effectively use logistics planning to reduce supply delays.

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

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

    
    
42. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
43. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
44. Additional comments, if any for [Participant Name Here]'s assessment.