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 satisfy client needs.
You obtain feedback to ensure client needs are being met.
You maintain strong relationships with clients.
You ensure client commitments and requirements are met or exceeded
You form strong client relationships
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You develop solutions to challenging problems.
You conceive, implement and evaluate ideas.
You inspire creativity in your team.
You create a lot of new ideas.
You add value to the department/organization.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You recognize own areas for development and consciously seek assignments that will provide practice in areas of developmental need.
You demonstrate through personal behavior the commitment to high standards of performance.
You actively seek to learn by asking questions and listening to all store associates.
You persist until goals are achieved and commitments are met.
You hold self and associates accountable for goal achievement.
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 give others development opportunities through project assignments and increased job responsibilities
You take immediate action on poor performance
You work to identify root causes of performance problems
You set and clearly communicate expectations, performance goals, and measurements to others
Technology Use/Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You maximize the use of new technology to deliver products and services.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You are proficient in the use of technical systems and processes.
You use technology in decision making and problem solving.
You support employee training and development initiatives regarding implementation of technology.
Collaboration	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You work with others to resolve issues facing the company.
You encourage working together to achieve shared goals.
You promote open participation and communication within department and throughout the organization.
You build consensus among partners.
You identify and organize partnerships and alliances.
Strategic Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You communicate goals and objectives to employees.
You monitor performance of each market within the Area, utilizing reports to ensure sales growth, cost management, and profitability targets are met.
You sustain or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
You are able to decline a poor strategy by proposing alternate strategies.
You understand your role within the organization.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You anticipate potential challenges, develops plan to overcome them and then carries out the plan.
You anticipate obstacles and ways to overcome them.
You are able to look ahead (beyond the present) when addressing the work/needs of the department.
You make plans and follows through.
You work in an organized manner

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.