Client Focus - 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Client Focus:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Client Focus

Agree Unsure Disagree N/A
  1. Forms strong client relationships
  1. Ensures client commitments and requirements are met or exceeded
  1. Looks for opportunities that have a positive impact on Clients.
  1. Satisfies client needs.
  1. Maintains strong relationships with clients.

Customer Focus

Agree Unsure Disagree N/A
  1. Maintains positive customer relationships.
  1. Does not hesitate to address customer concerns or complaints.
  1. Considers customers point of view when making decisions.
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Develops good rapport and trust with the customer.

Continual Learning

Agree Unsure Disagree N/A
  1. Pursues professional development opportunities when they arise.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Pursues learning that will enhance job performance.
  1. Pursues self-improvement through continual learning.
  1. Builds on their strengths while addressing their weaknesses.


Agree Unsure Disagree N/A
  1. Delegate tasks effectively
  1. Makes you feel enthusiastic about your work
  1. Sets an example for others to follow
  1. Is ready to offer help
  1. Keep staff informed about what is happening in the company


Agree Unsure Disagree N/A
  1. Takes the initiative to change the direction or course of events.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Goes above and beyond the stated goals.

Results Oriented

Agree Unsure Disagree N/A
  1. Demonstrates the personal confidence to "stay the course," even when faced with difficulty
  1. Directs team in prioritizing daily work activities
  1. Does not become distracted by non-issues or interruptions.
  1. Provides clear expectations for employees.
  1. Explains the "whys" behind organizational objectives

Interpersonal Skills

Agree Unsure Disagree N/A
  1. Is a role model for others
  1. Uses knowledge and charisma rather than position, power, or coercion to influence others
  1. Effectively manages conflicts by dealing with them directly and immediately
  1. Comes across as credible, knowledgeable and sincere
  1. Demonstrates willingness to work with others.

Developing Others

Agree Unsure Disagree N/A
  1. Creates opportunities for professional development.
  1. Provides constructive feedback to others.
  1. Assesses employees' developmental needs.
  1. Recognizes and celebrates accomplishments of others.
  1. Tries to ensure employees are ready to move to the next level.


Agree Unsure Disagree N/A
  1. Builds consensus and shares relevant information.
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. Encourages teamwork and collaboration.
  1. Coaches team members to work toward a common goal.
  1. Comes across as a reliable, committed team member


Agree Unsure Disagree N/A
  1. Follows existing procedures and processes.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
  1. Impresses upon others the important aspects of [Company].

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.