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Customer Focus- 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
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.

Sample Result Document:
Sample Results
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



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Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is aware of what the customer wants to receive.
  1. Satisfies customer needs.
  1. Tailors innovative products for each customer.
  1. Anticipates resources needed to meet the customer needs.
  1. Prioritizes customer issues based on urgency.


Communication Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Ensures comprehension during conversations or group presentations.
  1. Summarizes the question to verify comprehension.
  1. Implements performance appraisals focused on employee development using SMART criteria
  1. Coaches others on their written communication skills
  1. Verifies understanding throughout discussions.


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Open to learning about different cultures.
  1. Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
  1. Hires individuals with different cultural backgrounds for the department.
  1. Participates in cultural training sessions/classes.
  1. Encourages a work environment where individual differences are valued.


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes sure that employees understand and identify with the team's mission.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Aligns the department's goals with the goals of the organization.
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Maintains self-control when personally criticized.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses metrics and benchmarks established by the department.
  1. Communicates effectively with employees.
  1. Conveys instructions, directives and guidelines to the employees.
  1. Maintains professional interactions with peers, customers, and employees.
  1. Makes sure employees complete the work on time.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Generates a wide range of possible solutions.
  1. Open to the suggestions of others when working on a problem.
  1. Determines what needs fixed, its root causes, and the correct solutions to be implemented.
  1. Is flexible and adjusts the solution as needed based on the monitoring data and feedback received.


Goals

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Goal Setting
  1. Makes sure that I have a clear idea of our group's goals.
  1. Understands & contributes to development of strategic goals.
  1. Establishes and documents goals and objectives.
  1. Sets high expectations and goals; encourages others to support the organization.


Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Spends the most time and effort on critical tasks first.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Keeps track of multiple assignments and deadlines.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Maximizes the use of new technology to deliver products and services.
  1. Uses technology in decision making and problem solving.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Supports technical training and development of employees.


Objectives

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Consistently provides me with timely feedback for improving my performance.
  1. Communicates goals and objectives to employees.
  1. Encourages me to take on greater responsibility.
  1. Sets long-term and short-term goals.
  1. Assures [Company] principles are understood, employed & pursued.



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






  2. Strengths


  3. Areas for Development


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