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. Actively listens to concerns from customers.
  1. Acts with integrity in all customer interactions.
  1. Uses feedback from the customer to help improve the customer's experience.
  1. Is committed to resolving customer issues in a positive way.
  1. Builds trust with the customer.
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. Shares resources, technology, facilities, or intellectual property to benefit both partners.
  1. Fosters cross-department collaboration, facilitates information sharing, and establishes common objectives.
  1. Develops key business relationships with clients/customers.
  1. Involves others in communications about any changing process.
  1. Creates an environment that supports information exchange.
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. Considers other's opinion and suggestions.
  1. Asks others for their ideas and opinions.
  1. Actively seeks feedback from others.
  1. Is easy to approach with ideas and opinions.
  1. Is visible and approachable.
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 open to listening to others who may have different ideas.
  1. Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
  1. Comes across as confident, decisive, and resilient
  1. Supports, encourages or helps others to be sure about the decisions they are making.
  1. Evaluates information before making a final decision.
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. Accurately estimates the duration of tasks.
  1. Closely follows the plan established for the department.
  1. Able to develop logistics plans to move material through a multi-step supply chain.
  1. Involves relevant coworkers in the development of the plan.
  1. Makes strategic and tactical decisions to guide the logistics process.
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 information and expertise; sought out as resource by others
  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.
  1. Knows how to produce high quality products/work.
  1. Willingly shares his/her technical expertise; sought out as resource by others
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. Encourages me to take on greater responsibility.
  1. Able to organize work.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Establishes goals and objectives.
  1. Communicates goals and objectives to employees.
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. ...treats others with respect and dignity.
  1. Helpful
  1. Supports the efforts of other employees in implementing solutions to problems.
  1. Consistently demonstrates ability and willingness to trust others.
  1. Constructively receives criticism and suggestions from others.
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. Effective in communicating with others within the organization.
  1. Adept at navigating within the culture of the department.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Understands the current organizational culture.
  1. Gets things done through the department.
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. Performs regular compliance audits.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Responds promptly to inquiries from regulatory bodies.
  1. Periodically assesses the effectiveness of regulatory/compliance programs.
  1. Creates and distributes code of ethics and code of conduct.
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.