Client Focus - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Tailors solutions to meet the specific needs of each client.
Obtains feedback to ensure client needs are being met.
Delivers customized solutions for each client.
Provides excellent service to clients.
Ensures clients are comfortable with the services provided.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Adaptability	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Adjusts plans to meet the needs of new constraints.
Is open to new ideas and innovations.
Able to quickly learn new ways of performing their job.
Is proactive and takes steps to prepare for changes in the workplace.
Responds quickly to new information.
If [Participant Name] were to make improvements in Adaptability, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters a high standard of ethics and integrity.
Follows tasks to completion.
Maintains strong relationships with others.
Does what was promised.
If [Participant Name] were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Treats others with dignity and respect.
Avoids referring to stereotypes about others from different cultures.
Encourages a work environment where individual differences are valued.
Supports and mentors others that may have different cultural backgrounds.
Values the diverse perspectives from others.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Supervisory Skills	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Maintains disciplinary policy and fair enforcement of work rules
Provides guidance and support to help employees achieve their goals.
Communicates effectively with employees.
Communicates equally well with all employees.
Maintains the confidence and trust of employees.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?
Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to express own goals and needs.
Understanding what others need.
Attempts to persuade others rather than simply control them.
Develops a good rapport with others.
Ensures stakeholders are involved in the decision making process.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Innovation	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds upon the ideas and solutions of others.
Searches for opportunities and innovative ways to improve the organization.
Encourages open communication to ensure that all proposals are considered.
Offers constructive improvements to existing systems.
Analyzes current procedures and identifies opportunities for improvement.
If [Participant Name] were to make improvements in Innovation, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets challenging goals for the department.
Driven to complete goals despite obstacles that may arise.
Successfully launched the ABC project.
Holds others to high standards of achievement.
Sets challenging goals.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Managing Risk	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Identifies opportunities that may be created by taking specific risks.
Seeks to increase safety in the workplace.
Determines the impact of specific risks on finances.
Implements changes to reduce the chances of critical incidents in the future.
Takes steps to contain the costs of responding to such events.
If [Participant Name] were to make improvements in Managing Risk, what are your suggestions for how he/she can improve this?
Business Acumen	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Applies the knowledge of work processes to influence the achievement of business goals
Able to correctly assess current/estimated valuations.
Understands the costs, profits, markets, and added value of issues.
Able to align resources to meet the business needs of the company.
Maintains currency with laws, regulations, policies, procedures, trends, and developments.
If [Participant Name] were to make improvements in Business Acumen, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is able to diagnose issues and problems and to create a vision for their solutions.
Behaves in a way that is consistent with business values & code of conduct
Recognizes issues and formulates solutions.
Inspires individuals to achieve success by clearly communicating the organization's vision and motivating them to align their personal goals with this vision.
Influences the attitudes and behaviors of subordinates to match the department's vision.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for [Participant Name Here]'s assessment.