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 committed to resolving client issues in a positive way.
• Fosters an environment that supports strong client focus.
• Is consistent in services provided to clients.
• Provides a responsive service that meets the needs of clients.
• Anticipates problems that the client may encounter.

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

Comments:

Management

• Takes responsibility for things that go wrong
• Makes you feel enthusiastic about your work
• Keep staff informed about what is happening in the company
• Delegate tasks effectively
• Sets an example for others to follow

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

Comments:

Initiative

• Takes the initiative to complete tasks ahead of schedule.
• Immediately informs the supervisor of any critical incidents.
• Expands the offerings of the department by working evenings and weekends.
• Takes action to implement new changes in the policies and procedures.
• Capitalizes on opportunities as they become available.

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

Comments:

Commitment To Result

• Coordinates all department activities into a cohesive team effort.
• Maintains persistence and dedication to achieving results.
• Committed to the team.
• Encourages commitment in others to obtain results.
• Takes immediate action toward goals.

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

Comments:

Organizational Fluency

• Is aware of other organizational cultures to compare/contrast with the current organizational culture.
• Able to explain departmental policies and procedures to others.
• Understands departmental policies and procedures.
• Gets things done through the department.
• 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.