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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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. Focuses on providing excellent customer service.
  1. Consistently models positive customer service attitudes.
  1. Delivers customized solutions for each customer.
  1. Makes sure team members understand the issues faced by the customer.
  1. Is committed to the success of the customer.
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. Consistently meets client's needs.
  1. Helps clients feel they are receiving services tailored specifically to their needs.
  1. Anticipates potential obstacles to meeting client needs.
  1. Uses feedback from clients to help improve services.
  1. Is honest in all communication with the clients.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
Usually
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Competency
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Exhibits this
Competency
  1. Displays high energy and enthusiasm on consistent basis.
  1. Completes work on time
  1. Encourages risk taking and experimentation to improve performance
  1. Identifies ways to simplify work processes and reduce cycle times
  1. Motivates others to achieve or exceed goals
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
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Exhibits this
Competency
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Competency
Always
Exhibits this
Competency
  1. Communicates effectively with others.
  1. Attempts to persuade others rather than simply control them.
  1. Understanding what others need.
  1. Ensures stakeholders are involved in the decision making process.
  1. Persuades others to consider alternative points of view.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. Makes creative decisions.
  1. Has enough self-control to avoid making impulsive decisions.
  1. Defines parameters that will impact the decision making process.
  1. Makes good decisions for the department.
  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
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Competency
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Competency
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Exhibits this
Competency
  1. Is proactive in addressing important issues.
  1. Accurately captures time across various tasks.
  1. Delegates tasks to those with free time to do them.
  1. Provides accurate estimates for the amount of time needed to accomplish certain tasks.
  1. Prioritizes new tasks according to their relative importance.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Seeks information from others as needed.
  1. Is knowledgeable of procedures or systems necessary for the job.
  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. Demonstrates mastery of the technical competencies required in his/her work.
  1. Knows how to produce high quality products/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. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Demonstrates the analytical skills to do their job.
  1. Demonstrates the functional or technical skills necessary 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
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Competency
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Competency
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Exhibits this
Competency
  1. Develops the appropriate incentives (or disincentives) for regulatory compliance.
  1. Performs regulatory risk management to manage the risks of compliance (or non-compliance).
  1. Develops strategies to comply with established regulations.
  1. Implements regulatory compliance strategies.
  1. Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
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
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Competency
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Competency
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Competency
  1. Communicates well with team members.
  1. Actively participates as a team member
  1. Fosters an environment that promotes active listening on the team.
  1. Helps other team members to research solutions to a problem.
  1. Contributes to and supports team decision-making process
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. Exemplifies the skills of a global worker.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Sets the example for team on importance of cultural awareness.
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.