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
Regularly receives positive feedback from clients.
Treats clients with courtesy and respect.
Accepts responsibility for ensuring client satisfaction.
Creates innovative solutions to meet client needs.
Makes sure their interests are aligned with the client's interests.
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
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Able to work effectively with new people and new teams.
Responds quickly to new information.
Flexible and open to new ideas and encourages others to value change.
Is aware of changes to team personnel.
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
Develops trust and confidence from others.
Maintains strong relationships with others.
Follows tasks to completion.
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
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
Willing to work with employees who have different cultural backgrounds.
Avoids referring to stereotypes about others from different cultures.
Is open and honest in communications with individuals from other cultures.
Understands the impact that our culture may have on interactions between individuals.
May advocate for others with different cultural backgrounds.
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
Fosters a positive work environment in the department.
Is respectful toward employees.
Sets a good example for others to follow.
Understands the importance of good performance management.
Treats all staff equitably.
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
Attempts to persuade others rather than simply control them.
Communicates effectively with others.
Able to express own goals and needs.
Seeks to obtain consensus or compromise.
Understanding what others need.
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
Creates a safe environment for idea-sharing.
Creates improved methods or solutions for meeting goals and objectives.
Offers constructive improvements to existing systems.
Fosters a creative and innovative work environment.
Implements best practices within the department.
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
Establishes stretch goals to advance skills and output.
Uses established goals and performance measures to keep track of performance.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Allocates resources as needed to accomplish organizational goals.
Systematically works to improve the organization
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
Maintains open communication with other departments.
Implements changes to reduce the chances of critical incidents in the future.
Works within constraints of the organization.
Committed to implementing rules and procedures to minimize risk.
Improves process safety where possible.
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
Aware of regulations that impact our business.
Maintains currency with laws, regulations, policies, procedures, trends, and developments.
Understands our competitors and their strengths and weaknesses.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Can effectively interpret and analyze data.
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
Develops action plans to align his/her work with the goals of the organization
Works to support the strategy of [Company]
Leads employees in new directions.
Communicates the vision and strategy of [Company]
Communicates a vision of where the Company needs to be in the future.
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.