360 Degree Feedback PMBA Action Plan Quarterly Reporting

360 degree feedback evaluates a program from all sides. This evaluation should be completed by the PMBA Client Company (by the owner of the company). Provide feedback by thoughtfully and accurately filling in the information below.

Your First Name

Your Last Name

PMBA Client Company Information

Name of Client Company

Today's Date (MM/DD/YYYY)

PMBA Action Plan Rating Scale

Please Rate the PMBA Action Plan using the following scale:

below average
average
good
very good
excellent

Knowledge of Client Business

Rate Action Plan in the following areas.

	1	2	3	4	5
Understands needs of the company
Action Plan items will help my business
Quarterly goals are attainable
Company concerns and needs were addressed
Step by Step action items were effective

Comments

Using this plan I will be able to

Rate this Action Plan in the following areas.

	1	2	3	4	5
Stay on top of "to-do" items
Increase brand awareness/networking
Achieve marketing goals and initiatives
Capable of handling multiple tasks at once
Be more competitive in the industry/market

Comments

The Action Plan helped

Rate this Action Plan in the following areas.

	1	2	3	4	5
Create focus in areas otherwise ignored
Understand who the target customer is
Create a sound business plan
Identify competition and strategy to compete
Expose company to supplier diversity initiatives

Comments

PMBA Partners (those assisting you with action plan items)

Rate the PMBA partners in the following areas.

Comments

You are required to provide the following information (this will also serve as your Quarter report)

What is your current gross revenue for Quarter 3 (June 1, 2008 - August 31, 2008)

What is your current gross revenue for Quarter 4 (September 1, 2008 - November 30, 2008)

What is your current gross revenue for Quarter 5 (December 1, 2008 - February 28, 2009)

What is your current gross revenue for Quarter 6 (March 1, 2009 - May 31, 2009)

What is your current gross revenue for Quarter 7 (June 1, 2009 - August 31, 2009)

What is your current gross revenue for Quarter 8 (September 1, 2009 - November 30, 2009)

How many new products or services have you added?

How many new full-time or part-time employees have you hired?

Have you added a new store location?

PMBA Looking Forward

Would you recommend the PMBA program to other small to medium size businesses? If yes, please provide their contact information below.

Yes

No

N/A

Company Name

First Name

Last Name

Street Address

Address Line 2

City

State

Zip Code

Phone Number

Email Address

Should this program continue to be offered?

Yes

No

N/A

Additional Comments

Indicates Response Required

	1	2	3	4	5
Provides updates, support and direction
Understands the needs of company
Assists client company
Provides answers and clarity
Overall performance


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