Client Focus - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

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

• Is pro-active in dealing with clients and addressing their needs.
• Forms strong client relationships
• Looks for opportunities that have a positive impact on Clients.
• Satisfies client needs.
• Obtains feedback to ensure client needs are being met.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Management

• Makes you feel enthusiastic about your work
• Takes responsibility for things that go wrong
• Is ready to offer help
• Delegate tasks effectively
• Keep staff informed about what is happening in the company

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Initiative

• Immediately works to complete goals well before their deadline.
• Goes above and beyond the stated goals.
• Seeks and utilizes opportunities for continuous learning and self-development.
• Takes the initiative to change the direction or course of events.
• Takes action without being asked.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Commitment To Result

• Encourages commitment in others to obtain results.
• Takes immediate action toward goals.
• Coordinates all department activities into a cohesive team effort.
• Able to focus on a task even when working alone.
• Maintains persistence and dedication to achieving results.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Organizational Fluency

• Able to use corporate politics to advance department objectives.
• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Anticipates problems that may affect the department.
• Able to deal with sensitive issues with tact and professionalism.
• Adept at navigating within the culture of the department.

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.