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.

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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
Identifies the core needs of the customer.
Responsive to customer needs.
Anticipates potential obstacles to meeting customer needs.
Delivers on commitments made to customers.
Makes sure team members understand the issues faced by the customer.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Delivers influential presentations.
Listens to others' points of view with an open mind
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Delivers well-prepared, informed, poised and succinct presentations.
Checks for understanding throughout conversations or group presentations/discussions
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports and mentors others that may have different cultural backgrounds.
Helps other employees to become more culturally sensitive.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Views diversity as a strength, not as an issue.
Aware of their own cultural views.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand and identify with the team's mission.
Stays focused even when under pressure and stress.
Maintains focus when handling several problems or tasks simultaneously.
Excellent at managing time.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Successful in resolving personnel conflicts.
Understands the importance of good performance management.
Provides timely and thorough performance evaluations of employees.
Assigns tasks appropriately.
Treats all staff equitably.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Solves problems using logic and insight.
Works cooperatively with others to solve problems.
Ability to solve problems at root cause rather than at symptom level.
Able to balance the needs of different people in a solution to a problem.
Effective in solving problems.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands & contributes to development of strategic goals.
Sets high expectations and goals; encourages others to support the organization.
Achieves established goals.
Goal Setting
Makes sure that team members have a clear idea of our group's goals.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Determines which tasks are critical and which tasks are optional.
Begins tasks as soon as possible.
Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
Switches attention to more urgent tasks when necessary.
Spends the most time and effort on critical tasks first.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maximizes the use of new technology to deliver products and services.
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Understands and is committed to implementing new technologies.
Supports technical training and development of employees.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Organizes and schedules events, activities, and resources.
Establishes goals and objectives.
Sets long-term and short-term goals.
Encourages me to take on greater responsibility.
Consistently provides me with timely feedback for improving my performance.

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.