Customer Focus- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Customer Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Ensures customers are comfortable with the services provided.
Prioritizes customer issues based on urgency.
Has received good feedback from customers.
Is committed to the success of the customer.
Develops good rapport and trust with the customer.
Empowering Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Set clear goals for assignments.
Empowers employees to structure their work hours to maximize their productivity.
Allows employees to organize their schedule to best accomplish the job.
Sets clear goals for others to accomplish.
Trusts employees to complete tasks assigned.
Developing Others	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Creates opportunities for professional development.
Tries to ensure employees are ready to move to the next level.
Assigns tasks and responsibilities to develop skills of others.
Encourages employees through recognition of positive changes in behavior.
Is open to receiving feedback.
Creativity	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Develops solutions to challenging problems.
Inspires creativity in their team.
Conceives, implements and evaluates ideas.
Creates a lot of new ideas.
Is creative.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Gathers information from a variety of sources.
Utilizes data and logical reasoning to address and challenge personal biases in decision-making.
Selects the solution that offers the best outcome based on the analysis.
Identifies deviations from stated goals and objectives.
Uses analytical thinking to make desirable outcomes more probable.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Determines what resources will be needed to achieve the objectives.
Highly motivated to complete tasks despite obstacles that may arise.
Ensures the team understands the objective that needs to be completed.
Completes all required coursework.
Exceeds performance requirements.
Negotiation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Keeps a firm grasp on the issues and priorities.
Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
Understands the motivations of the other party.
Alters plans to respond to immediate challenges.
Sets and maintains firm negotiating limits and boundaries.
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Functions well under stress, deadlines, and/or significant workloads.
Makes sure that employees understand how their work relates to organizational goals.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Sets appropriate goals for employees.
Vision	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Defines a roadmap for realizing the organization's vision.
Encourages employees to prioritize activities that contribute to the vision.
Provides the vision needed to help the organization remain competitive and adaptable in a dynamic market.
Committed to turning the strategic vision into reality by meticulously planning, coordinating, and overseeing the implementation of an action plan.
Develops action plans to align his/her work with the goals of the organization.

46. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




47. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
48. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
49. What changes do you see [Company] making in order to raise the standards?
    
    
    
50. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
51. What do you like best about working for [Company]?
    
    
    
52. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: