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
I provide training to others on how to improve client service.
I identify opportunities that enhance the client's experience.
You ensure clients are comfortable with the services provided.
You effectively troubleshoot client issues.
You are pro-active in dealing with clients and addressing your needs.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are creative and inspirational.
You are creative.
You conceive, implement and evaluate ideas.
You inspire creativity in your team.
You create a lot of new ideas.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You exhibit willingness to upgrade skills through additional training and education.
You embrace new technology and procedures.
You create an environment that supports personal development and exploration.
You will participate in training classes even if offered outside of normal working hours.
You demonstrate through personal behavior the commitment to high standards of performance.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You provide ongoing feedback to co-workers on your development progress
You adapt coaching and mentoring approach to meet the style or needs of individuals
You give others development opportunities through project assignments and increased job responsibilities
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 support technical training and development of employees.
You understand and are committed to implementing new technologies.
You apply complex rules and regulations to maintain optimal system performance.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You use technology in decision making and problem solving.
Collaboration	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You work with others to resolve issues facing the company.
You make decisions with other members of the group.
You allow various stakeholders to contribute their expertise to the solution of a problem.
You a trustworthy and credible partner.
You create a culture that fosters and values collaboration.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand your role within the organization.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You understand and contribute to development of strategic goals.
You are able to decline a poor strategy by proposing alternate strategies.
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I reduce uncertainty in the department through clear planning and schedules.
I can initiate the planning process by defining the scope of the project.
You are able to develop logistics plans to move material through a multi-step supply chain.
I plan for how to allocate time to specific activities.
I can develop plans to ensure the smooth operation of the supply chain.

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.