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

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Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I build long term relationships with clients.
I make sure team members understand the issues faced by the client.
I identify opportunities that enhance the client's experience.
I support client focused policies and procedures.
You engage with clients on multiple levels.
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You conceive, implement and evaluate ideas.
You develop solutions to challenging problems.
You are creative and inspirational.
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 embrace new technology and procedures.
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
You constantly enhance product knowledge through experimentation and play.
You demonstrate through personal behavior the commitment to high standards of performance.
You stay up-to-date on emerging technologies.
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 give others development opportunities through project assignments and increased job responsibilities
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 support technical training and development of employees.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You understand and are committed to implementing new technologies.
You support employee training and development initiatives regarding implementation of technology.
You maximize the use of new technology to deliver products and services.
Collaboration	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You use group decision making.
I engage with team members to build a collaborative work environment.
You promote open participation and communication within department and throughout the organization.
I recognize and reward the contributions of team members.
I encourage team members to offer opinions and ideas.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You create plans to develop and promote organizational and area strengths, as well as to address weaknesses.
You create a strategy to pursue and maintain a competitive advantage in business.
You strategically deploy resources to areas of the greatest need.
I identify sources for developing a global competitive advantage for the company.
I use strategic thinking to make better strategic decisions.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I can effectively use logistics planning to reduce supply delays.
I set the appropriate sequence of tasks to ensure completion of the project.
You create to-do lists to make sure nothing is missed.
You set the appropriate sequence of tasks to efficiently achieve the goal.
I determine the steps required for completion of a task.

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.