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 .

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Client Focus	Agree	Unsure	Disagree	N/A
Is committed to the client's success.
Prioritizes client issues to tackle the most pressing needs first.
Engages with clients on multiple levels.
Is competent in handling client cases.
Puts client's needs first.
Customer Focus	Agree	Unsure	Disagree	N/A
Is above average in addressing the needs of the customers.
Builds trust with the customer.
Is pro-active in dealing with customers and addressing their needs.
Looks for opportunities that have a positive impact on customers.
Helps customers to feel satisfied with our work/services.
Continual Learning	Agree	Unsure	Disagree	N/A
Takes charge of their training and skills enhancement.
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Views setbacks as opportunities to learn from.
Participates in regular training offered.
Management	Agree	Unsure	Disagree	N/A
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Delegate tasks effectively
Keep staff informed about what is happening in the company
Sets an example for others to follow
Initiative	Agree	Unsure	Disagree	N/A
Immediately works to complete goals well before their deadline.
Will continue to work on a problem even in the face of obstacles.
Takes on extra projects after required work is completed.
Takes the initiative to change the direction or course of events.
Engages with new customers immediately.
Results Oriented	Agree	Unsure	Disagree	N/A
Achieves long and short-term goals.
Identifies the steps needed to accomplish the results.
Promptly and efficiently completes assigned tasks.
Sets benchmarks and milestones to measure progress toward the objectives.
Prioritizes goals to complete those in urgent need first.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Assists employees that need help.
Creates diverse teams of individuals with different backgrounds, skills, and abilities.
Considers the other individual's point of view.
Promotes acceptance of diverse viewpoints from team members.
Pays close attention to what is being communicated verbally and nonverbally.
Developing Others	Agree	Unsure	Disagree	N/A
Supports the successes of other employees.
Provides constructive feedback to others.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Assesses employees' developmental needs.
Teamwork	Agree	Unsure	Disagree	N/A
Willingly share their technical expertise
Works with other team members on the project.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Asks other team members to share their opinions.
Fosters an environment that promotes active listening on the team.
Company	Agree	Unsure	Disagree	N/A
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Understands how decisions impact other business units beyond their immediate department of work group.
Follows existing procedures and processes.

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.