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)
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. Builds trust with the customer.
  1. Takes the initiative in solving difficult customer issues.
  1. Acts with integrity in all customer interactions.
  1. Has excellent communication with customers.
  1. Is pro-active in dealing with customers and addressing their needs.
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. Promotes the understanding of how the department affects the organization overall.
  1. Forges mutually beneficial relationships between individuals with diverse backgrounds.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
  1. Creates value within the Company by building networks.
  1. Supports and encourages relationships that are created by diverse team members.
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. Asks others for their ideas and opinions.
  1. Accepts the views of others.
  1. Seeks feedback to enhance performance.
  1. Is visible and approachable.
  1. Is easy to approach with ideas and opinions.
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. Is firm in their decision and not easily influenced by the whims of others.
  1. Supports, encourages or helps others to be sure about the decisions they are making.
  1. Remains focused on the immediate goal when making decisions.
  1. Considers the ethical implications of decisions.
  1. Makes creative 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. Able to identify the needs of the department before a major change.
  1. Develops good plans used for logistics.
  1. Adjusts and rearranges the schedule to maximize efficiency.
  1. Sets up and monitors timeframes and plans
  1. Develops proper plans to ensure seamless flow of materials through logistics.
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. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Seeks information from others as needed.
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Is knowledgeable of procedures or systems necessary for the job.
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. Consistently provides me with timely feedback for improving my performance.
  1. Encourages me to take on greater responsibility.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Organizes and schedules events, activities, and resources.
  1. Establishes goals and objectives.
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. Constructively receives criticism and suggestions from others.
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Forms working relationships with employees from other departments.
  1. Respects the opinions of other employees.
  1. Works effectively with people from other departments.
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. Gets things done through the department.
  1. Able to explain departmental policies and procedures to others.
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
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. Is aware of the documents and reports needed to maintain compliance with regulations.
  1. Complies with trade agreements affecting international companies.
  1. Offers training to employees to ensure they are complying with regulations.
  1. Ensures the company meets legal requirements/standards regarding employees.
  1. Ensures regulations are followed as required.
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.