Client Focus - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Client Focus

What does Client Focus mean?
It means that ...
  • You obtain feedback to ensure client needs are being met.
  • You satisfy client needs.
  • You maintain strong relationships with clients.
  • You form strong client relationships
  • You look for opportunities that have a positive impact on Clients.

To what extent does this person exhibit Client Focus?
Select from one of the ratings below.

Continual Learning

What does Continual Learning mean?
It means that ...
  • You pursue self-improvement through continual learning.
  • You build on your strengths while addressing your weaknesses.
  • You grasp new ideas, concepts, technical, or business knowledge.
  • You pursue learning that will enhance job performance.
  • You improve on your skill sets.

To what extent does this person exhibit Continual Learning?
Select from one of the ratings below.


What does Delegation mean?
It means that ...
  • You clearly define duties and tasks to be completed.
  • You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  • You encourage and empower subordinates to use initiative in achieving goals and objectives.
  • You define the roles, responsibilities, required actions, and deadlines for team members.
  • You tell subordinates what to do, not how to do it.

To what extent does this person exhibit Delegation?
Select from one of the ratings below.

Technology Use/Management

What does Technology Use/Management mean?
It means that ...
  • You support employee training and development initiatives regarding implementation of technology.
  • You are proficient in the use of technical systems and processes.
  • You apply complex rules and regulations to maintain optimal system performance.
  • You identify gaps between actual and needed technical competencies and provide recommendations for required training.
  • You use technology in decision making and problem solving.

To what extent does this person exhibit Technology Use/Management?
Select from one of the ratings below.


What does Coaching mean?
It means that ...
  • You address employee behavior problems effectively.
  • You meet regularly with employees to coach them on areas that will enhance your performance
  • You conduct regular performance appraisals and feedback.
  • You provide clear, motivating, and constructive feedback.
  • You help employees to understand responsibilities, authority, and expectations.

To what extent does this person exhibit Coaching?
Select from one of the ratings below.

Areas for Development

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