Client Focus - 360 Degree Feedback Survey Sample #12





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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

Sample Result Document:
Sample Results
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

  • Anticipates client needs.
  • Responds to the needs of the client.
  • Anticipates problems that the client may encounter.
  • Provides a high level of service to clients.
  • Views client satisfaction as an everyday priority.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Management

  • Takes responsibility for things that go wrong
  • Sets an example for others to follow
  • Delegate tasks effectively
  • Keep staff informed about what is happening in the company
  • Is ready to offer help
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Initiative

  • Immediately informs the supervisor of any critical incidents.
  • Acts independently to solve pressing needs.
  • Goes above and beyond the stated goals.
  • Initiates the development of new products.
  • Creates solutions to problems as soon as an incident occurs.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Commitment To Result

  • Maintains persistence and dedication to achieving results.
  • Committed to the team.
  • Willing to do whatever it takes-not afraid to have to put in extra effort.
  • Creates a sense of urgency among the store team members to complete activities, which drive sales.
  • Conveys strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Organizational Fluency

  • Able to explain departmental policies and procedures to others.
  • Able to deal with sensitive issues with tact and professionalism.
  • Adept at navigating within the culture of the department.
  • Understands departmental policies and procedures.
  • Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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