HR-Survey > 360-Degree Feedback > Competency Model

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)
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





Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Provides excellent service to customers.
  1. Has received good feedback from customers.
  1. Ensures customers are comfortable with the services provided.
  1. Prioritizes customer issues to tackle the most pressing needs first.
  1. Documents customer interactions.


Communication Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Listens effectively and responds to new information.
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Uses software, graphics, or other aids to clarify complex or technical reports.
  1. Communicates effectively with colleagues and customers


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Hires individuals with different cultural backgrounds for the department.
  1. Communicates with others without the influence of racism.
  1. Aware of their own cultural views.
  1. Recognizes and values individual and cultural differences.
  1. Avoids referring to stereotypes about others from different cultures.


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Excellent at managing time.
  1. Makes sure that employees understand and identify with the team's mission.
  1. Functions well under stress, deadlines, and/or significant workloads.
  1. Helps guide employees with prioritizing tasks.
  1. Aligns the department's goals with the goals of the organization.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Fosters a positive work environment in the department.
  1. Provides direction and coaching to employees.
  1. Spends time to actively listen to the grievance.
  1. Gives employees the ability to complete their tasks as they see fit.
  1. Maintains a calm demeanor when addressing stressful issues in the workplace.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Able to balance the needs of different people in a solution to a problem.
  1. Finds creative ways to get things done with limited resources.
  1. Is a good problem solver and decision maker
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Solves problems using logic and insight.


Goals

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Makes sure that team members have a clear idea of our group's goals.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Understands & contributes to development of strategic goals.
  1. Establishes and documents goals and objectives.


Juggling Multiple Responsibilities

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
  1. Ensures that assignments are prioritized according to the needs of the department/company.
  1. Spends the most time and effort on critical tasks first.
  1. Keeps track of multiple assignments and deadlines.
  1. Assigns tasks based on skills of team members.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Proficient in the use of technical systems and processes.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Understands and is committed to implementing new technologies.


Objectives

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Consistently provides me with timely feedback for improving my performance.
  1. Works toward achieving established goals and objectives.
  1. Establishes goals and objectives.
  1. Organizes and schedules events, activities, and resources.
  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.