Customer Focus- 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Customer Focus, Client Focus, Bias for Action, Persuasion and Influence, Decision Making, Time Management, Technical, Excellence, Regulatory/Compliance, Teamwork, Global Perspective
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Customer Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates new and innovative products for customers.
  1. Prioritizes customer issues to tackle the most pressing needs first.
  1. Is pro-active in dealing with customers and addressing their needs.
  1. Tailors innovative products for each customer.
  1. Maintains strong relationships with customers.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Anticipates potential obstacles to meeting client needs.
  1. Maintains strong relationships with clients.
  1. Satisfies client needs.
  1. Addresses client complaints immediately.
  1. Anticipates and proactively resolves issues that the client may face.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Coach others to foster an environment which can adapt quickly and willingly to rapid change.
  1. Encourages risk taking and experimentation to improve performance
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Displays high energy and enthusiasm on consistent basis.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Ensures stakeholders are involved in the decision making process.
  1. Seeks to obtain consensus or compromise.
  1. Attempts to persuade others rather than simply control them.
  1. Develops a good rapport with others.
  1. Has excellent influencing/negotiating skills.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Determines constraints that may impact what decisions are acceptable.
  1. Willing to consider information from other sources.
  1. Is creative about the decisions they make.
  1. Decides which long-term goals should be met.
  1. Takes into account the impact decisions will have on others.
Please feel free to provide any comments to help explain your answers?

Time Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Ranks tasks based on importance to maximize available time.
  1. Reacts promptly to inquiries from customers/clients.
  1. Completes tasks ahead of schedule.
  1. Delegates tasks to those with free time to do them.
  1. Tackles major issues head on to reduce the amount of time spent on them.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
Always
Exhibits this
Competency
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Knows how to produce high quality products/work.
  1. Seeks information from others as needed.
Please feel free to provide any comments to help explain your answers?

Excellence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is planful and organized.
  1. Can be counted on to add value wherever they are involved.
  1. Keeps themselves and others focused on constant improvement.
  1. Demonstrates the analytical skills to do their job.
  1. Takes a lot of pride in their work.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
Always
Exhibits this
Competency
  1. Reviews documentation, processes and practices.
  1. Keeps up-to-date with legislation affecting employees.
  1. Coordinates with legal counsel in conducting audits of legal compliance.
  1. Implements internal control processes to detect misconduct or patterns of illegal transactions.
  1. Reviews the compliance program and recommends changes based on new industry trends.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
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Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. Builds strong relationships with team members.
  1. Emphasizes the importance of getting individuals to work as a team
  1. Takes the time to listen to the team's ideas.
  1. Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
  1. Is able to accurately paraphrase and summarize what other team members have said.
Please feel free to provide any comments to help explain your answers?

Global Perspective

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Creates an environment where individual differences are valued and supported.
  1. Cooperates with others on a global scale.
  1. Considers customers point of view when making decisions.
  1. Able to work with others from different cultures and countries.
  1. Works well with others from different cultural backgrounds.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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