Customer Focus- 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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 by .

Thank you for your participation in the survey.

Management Team

Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains positive customer relationships.
...friendliness and courtesy
Considers customers point of view when making decisions.
Develops good rapport and trust with the customer.
Consistently models positive customer service attitudes.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks follow-up questions as needed.
Able to deliver presentations.
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Communicates effectively with colleagues and customers
Is an effective communicator
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Fosters a diverse workforce free from discrimination and harassment.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Treats others with dignity and respect.
Values the opinions of diverse groups and individual.
Respects others regardless of age, race, gender, nationality, or disability.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes sure that employees understand and identify with the team's mission.
Maintains self-control when personally criticized.
Excellent at managing time.
Makes sure that employees understand how their work relates to organizational goals.
Helps guide employees with prioritizing tasks.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delegates effectively.
Promotes teamwork and cooperation within the department.
Encourages employees to achieve their full potential.
Treats all staff equitably.
Maintains good working relationships with employees.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes judgments based upon relevant information.
Is a good problem solver and decision maker
Implements effective solutions to critical problems.
Actively seeks the root cause of a problem.
Finds creative ways to get things done with limited resources.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Achieves goals.
Understands & contributes to development of strategic goals.
Makes sure that team members have a clear idea of our group's goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Achieves established goals.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Begins tasks as soon as possible.
Ensures that assignments are prioritized according to the needs of the department/company.
Builds in extra time in the schedule for unplanned events/occurrences.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Prioritizes tasks for efficiency.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Proficient in the use of technical systems and processes.
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
Understands and is committed to implementing new technologies.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ability to establish realistic goals.
Establishes goals and objectives.
Works toward achieving established goals and objectives.
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.