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)

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.

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. Ensures client commitments and requirements are met or exceeded
  1. Satisfies client needs.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Maintains strong relationships with clients.
  1. Is pro-active in dealing with clients and addressing their needs.

Customer Focus

Agree Unsure Disagree N/A
  1. Develops good rapport and trust with the customer.
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Develops strong customer relationships.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  1. Does not hesitate to address customer concerns or complaints.

Continual Learning

Agree Unsure Disagree N/A
  1. Builds on their strengths while addressing their weaknesses.
  1. Sets relevant learning objectives and goals.
  1. Shares best practices with others and learns from others.
  1. Pursues self-improvement through continual learning.
  1. Grasps new ideas, concepts, technical, or business knowledge.


Agree Unsure Disagree N/A
  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Delegate tasks effectively


Agree Unsure Disagree N/A
  1. Prepares for unexpected contingencies.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Takes the initiative to change the direction or course of events.
  1. Takes action without being asked.
  1. Goes above and beyond the stated goals.

Results Oriented

Agree Unsure Disagree N/A
  1. Stays focused on meeting the needs of customers.
  1. Explains the "whys" behind organizational objectives
  1. Provides clear expectations for employees.
  1. Encourages a high-energy, fun work environment and coaches others on how to do the same
  1. Works toward achievement of goals even when confronted with obstacles.

Interpersonal Skills

Agree Unsure Disagree N/A
  1. Creates an atmosphere that supports the open expression of ideas
  1. Effectively manages conflicts by dealing with them directly and immediately
  1. Comes across as credible, knowledgeable and sincere
  1. Adapts management style to meet the needs of the individual or situation.
  1. Is a role model for others

Developing Others

Agree Unsure Disagree N/A
  1. Tries to ensure employees are ready to move to the next level.
  1. Supports the successes of other employees.
  1. Assesses employees' developmental needs.
  1. Is open to receiving feedback.
  1. Recognizes and celebrates accomplishments of others.


Agree Unsure Disagree N/A
  1. Creates a climate that encourages team participation.
  1. Fosters respect and understanding among team members
  1. Encourages open communication
  1. Provides assistance and support to other team members when needed
  1. Comes across as a reliable, committed team member


Agree Unsure Disagree N/A
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Understands how decisions impact other business units beyond their immediate department of work group.
  1. Follows existing procedures and processes.
  1. Attends [Company] gatherings and social events.
  1. Understands the "basics" as to how [Company] functions/operates.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.