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
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
Ensures client commitments and requirements are met or exceeded
Obtains feedback to ensure client needs are being met.
Looks for opportunities that have a positive impact on Clients.
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
Works effectively in dynamic and changing work environments.
Ability to recognize the potential benefits of change, and create an infrastructure which supports change.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Recognizes and implements changes to enhance efficiency and effectiveness.
Learns from personal experiences and/or mistakes.
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
Maintains strong relationships with others.
Does what was promised.
Protects the integrity and confidentiality of information
Demonstrates sincerity in actions with others.
Accepts responsibility for mistakes.
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
Encourages a work environment where individual differences are valued.
Recognizes and values individual and cultural differences.
Shows respect in daily interactions
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Seeks out different viewpoints and benefits from different perspectives.
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
Is aware of the unique strengths of each employee.
Encourages employees to achieve their full potential.
Appropriately recognizes and rewards employees.
Resolves personnel problems quickly and effectively.
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
Has excellent influencing/negotiating skills.
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Communicates effectively with others.
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
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Develops new products and services.
Implements best practices within the department.
Finds creative ways to get things done with limited resources.
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
Strives to exceed standards of performance.
Rapidly completes tasks and assignments.
Sets ambitious standards of performance.
Sets challenging goals for the department.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business 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
Performs regular risk analyses to minimize adverse outcomes.
Improves process safety where possible.
Is aware of process safety management.
Able to adapt quickly to changing situations.
Has the knowledge and skills to accurately identify risks in the workplace.
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
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Considers impact of actions on other areas of the organization.
Applies the knowledge of work processes to influence the achievement of business goals
Able to align resources to meet the business needs of the company.
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
Clearly articulates a vision for his/her work and inspires others to support it
Creates a common vision for others.
Leads employees in new directions.
Persuades others to follow the Company's vision.
Communicates the vision and strategy of [Company]
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.