Customer Focus- 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Customer 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)
Survey 14 (4-point scale; N/A)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Uses feedback from customers to help improve services.
  1. Provides excellent service to customers.
  1. Addresses customer complaints immediately.
  1. Persistent in solving customer issues.
  1. Focuses on providing excellent customer service.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Partnering/Networking

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Creates the conditions for partnerships to grow and develop.
  1. Defines a partnering strategy for identifying and selecting a partner.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Is an active member of professional associations or professional groups to stay connected with peers.
  1. Maintains a strong track record of networking and partnering.
What are your suggestions for how [Participant Name] can make improvements
in Partnering/Networking?

Feedback

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Looks to others for input.
  1. Open to the suggestions of others.
  1. Accepts the views of others.
  1. Asks others for their ideas and opinions.
  1. Considers other's opinion and suggestions.
What are your suggestions for how [Participant Name] can make improvements
in Feedback?

Decision Making

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Decides which long-term goals should be met.
  1. Understands what factors are important for deciding if a decision is "worth it"?
  1. Makes creative decisions.
  1. Considers the ethical implications of decisions.
  1. Applies creative reasoning in making decisions.
What are your suggestions for how [Participant Name] can make improvements
in Decision Making?

Planning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Encourages others to follow the plan.
  1. Ensures staff are held accountable for following the department plan.
  1. Prioritizes tasks and allocates resources.
  1. Develops plans to help manage expectations and project demands.
  1. Open to input from others into the plan for development of the strategic plan.
What are your suggestions for how [Participant Name] can make improvements
in Planning?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Seeks information from others as needed.
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Objectives

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates goals and objectives to employees.
  1. Encourages me to take on greater responsibility.
  1. Consistently provides me with timely feedback for improving my performance.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Able to organize work.
What are your suggestions for how [Participant Name] can make improvements
in Objectives?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Constructively receives criticism and suggestions from others.
  1. Works across boundaries within the organization.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Is able to see issues from others' perspectives.
What are your suggestions for how [Participant Name] can make improvements
in Others?

Organizational Fluency

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understands the current organizational culture.
  1. Gets things done through the department.
  1. Understands departmental policies and procedures.
  1. Able to explain departmental policies and procedures to others.
  1. Effective in communicating with others within the organization.
What are your suggestions for how [Participant Name] can make improvements
in Organizational Fluency?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides direction and oversight for the compliance department.
  1. Keeps up-to-date with legislation affecting employees.
  1. Maintains a state of readiness to address new and changing regulations and procedures.
  1. Prepares and presents annual reports as required.
  1. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
What are your suggestions for how [Participant Name] can make improvements
in Regulatory/Compliance?


  1. Strengths


  2. Areas for Development


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