Client Focus - 360 Degree Feedback Survey Sample #8

Instructions

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.

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.



Please complete your response by .

Client Focus	Agree	Unsure	Disagree	N/A
Documents client interactions.
Tailors solutions to meet the specific needs of each client.
Prioritizes client issues based on urgency.
Helps clients feel they are receiving services tailored specifically to their needs.
Views client satisfaction as an everyday priority.
Customer Focus	Agree	Unsure	Disagree	N/A
Understands what resources are needed to meet customer needs.
Gives feedback to the customer regularly.
Is competent in handling customer cases.
Anticipates potential obstacles to meeting customer needs.
Adapts to changes proposed by the customer.
Continual Learning	Agree	Unsure	Disagree	N/A
Improves on their skill sets.
Pursues self-improvement through continual learning.
Takes the initiative to learn new skills.
Sets relevant learning objectives and goals.
Is open to new ideas and concepts.
Management	Agree	Unsure	Disagree	N/A
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Delegate tasks effectively
Is ready to offer help
Takes responsibility for things that go wrong
Initiative	Agree	Unsure	Disagree	N/A
Acts quickly to address any issues or problems.
Goes above and beyond the stated goals.
Seizes upon chances to improve the department's prospects.
Confronts problems immediately without supervisor instructions.
Seeks and utilizes opportunities for continuous learning and self-development.
Results Oriented	Agree	Unsure	Disagree	N/A
Holds self and others accountable for achieving results.
Strives to exceed performance benchmarks.
Provides clear expectations for employees.
Achieves high levels of performance.
Determines the objectives for the project.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Uses tact, compassion, and sensitivity in interactions with others.
Is a role model for others demonstrating the importance of interpersonal skills.
Successfully resolves conflicts and grievances to a win-win solution.
Values the opinions of others.
Sees values in the diversity of individuals on the team.
Developing Others	Agree	Unsure	Disagree	N/A
Assigns tasks and responsibilities to develop skills of others.
Creates opportunities for professional development.
Supports the successes of other employees.
Is open to receiving feedback.
Creates a work environment that fosters positive feedback to employees.
Teamwork	Agree	Unsure	Disagree	N/A
Helps the team bounce back from obstacles to progress.
Helps the team decide what long term goals need to be met.
Creates a culture that fosters and values collaboration.
Emphasizes the importance of getting individuals to work as a team
Actively participates in the work of teams; seeks and listens to others' contributions
Company	Agree	Unsure	Disagree	N/A
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Attends [Company] gatherings and social events.
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.