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.

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. Builds products that meet the unique needs of each customer.
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Is available to respond to customer needs.
  1. Focuses on providing excellent customer service.
  1. Exceeds expectations of the 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. Ensures commitments made to clients are completed to the client's satisfaction.
  1. Responds to the needs of the client.
  1. Creates high quality products for the clients.
  1. Competent in managing client projects.
  1. Creates innovative solutions to meet client needs.
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. Motivates others to achieve or exceed goals
  1. Seeks and utilizes opportunities for continuous learning and self-development.
  1. Completes a large volume of work.
  1. Completes work on time
  1. Encourages risk taking and experimentation to improve performance
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. Has excellent influencing/negotiating skills.
  1. Understanding what others need.
  1. Develops a good rapport with others.
  1. Ensures stakeholders are involved in the decision making process.
  1. Communicates effectively with others.
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. Maintains focus on the "big picture" when making decisions.
  1. Identifies parameters impacting the decision.
  1. Learns from previous bad decisions and rarely repeats them.
  1. Defines what constraints must be met for the decision making process.
  1. Comes across as confident, decisive, and resilient
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
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Allows for time buffers between tasks so that the schedule does not become delayed due to unforeseen circumstances.
  1. Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
  1. Consistently achieves production targets on time.
  1. Achieves more through effective time management.
  1. Prioritizes completion of high-impact assignments.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. Willingly shares information and expertise; sought out as resource by others
  1. Seeks information from others as needed.
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Demonstrates mastery of the technical competencies required in his/her work.
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. Demonstrates the functional or technical skills necessary to do their job.
  1. Is planful and organized.
  1. Keeps themselves and others focused on constant improvement.
  1. Takes a lot of pride in their work.
  1. Produces high quality work.
Please feel free to provide any comments to help explain your answers?

Regulatory/Compliance

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Explains regulations and procedures to others as required.
  1. Offers training to employees to ensure they comply with regulations.
  1. Ensures regulations are followed as required.
  1. Complies with trade agreements affecting international companies.
  1. Provides documents and reports as needed to maintain compliance with laws.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Effective team player
  1. Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
  1. Facilitates effective decision-making practices to further develop the team.
  1. Provides assistance and support to other team members when needed
  1. Facilitates effective teamwork during periods of change.
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. Attends training seminars and conferences to increase skills in working with others globally.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.
  1. Facilitates open communication with individuals from other countries.
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.