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
Helps clients feel they are receiving services tailored specifically to their needs.
Creates documents that meet the client's specifications.
Creates high quality products for the clients.
Is aware of expectations from clients.
Is consistent in services provided to clients.
Customer Focus	Agree	Unsure	Disagree	N/A
Obtains feedback to ensure customer needs are being met.
Ensures customers are comfortable with the services provided.
Provides excellent service to customers.
Is pro-active in dealing with customers and addressing their needs.
Fulfills commitments made to customers.
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.
Pursues self-improvement through continual learning.
Improves on their skill sets.
Management	Agree	Unsure	Disagree	N/A
Delegate tasks effectively
Makes you feel enthusiastic about your work
Is ready to offer help
Sets an example for others to follow
Keep staff informed about what is happening in the company
Initiative	Agree	Unsure	Disagree	N/A
Takes the initiative to complete tasks ahead of schedule.
Analyzes the needs of the situation and acts before being told to do so.
Initiates actions that impact the department/company.
When working on a problem in a team, they are often the first to suggest possible solutions.
Guides strategic initiatives to advance the department/organization.
Results Oriented	Agree	Unsure	Disagree	N/A
Views obstacles as opportunities to improve self.
Completes all assigned tasks.
Flexible and willing to change the strategy to better achieve the objectives.
Achieves performance benchmarks.
Is considered a high achiever.
Interpersonal Skills	Agree	Unsure	Disagree	N/A
Applies appropriate communication techniques to the situation.
Able to work with individuals at all levels of the Company.
Is a committed and reliable partner.
A good listener who is attentive to others.
Appreciates the extra efforts made by coworkers.
Developing Others	Agree	Unsure	Disagree	N/A
Is open to receiving feedback.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Creates a work environment that fosters positive feedback to employees.
Assesses employees' developmental needs.
Teamwork	Agree	Unsure	Disagree	N/A
Asks other team members to share their opinions.
Is open to new ideas that may change own goals for benefit of the team
Builds strong relationships with team members.
Communicates well with team members.
Coaches team members to work toward a common goal.
Company	Agree	Unsure	Disagree	N/A
Impresses upon others the important aspects of [Company].
Understands the use of [Company] products and services.
Expresses loyalty and dedication to [Company] in interactions with others.
Follows existing procedures and processes.
Understands the "basics" as to how [Company] functions/operates.

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.