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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)
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
  1. ...friendliness and courtesy
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Does not hesitate to address customer concerns or complaints.
  1. Maintains positive customer relationships.
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.


Communication Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Addresses issues of key importance to stakeholders.
  1. Delivers influential presentations.
  1. Communicates effectively with all levels of the organization.
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Seeks out different viewpoints and benefits from different perspectives.
  1. Respects others regardless of age, race, gender, nationality, or disability.
  1. Shows respect in daily interactions
  1. Treats others with dignity and respect.
  1. Recognizes and values individual and cultural differences.


Establishing Focus/Direction

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


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Treats all staff equitably.
  1. Appropriately recognizes and rewards employees.
  1. Maintains good working relationships with employees.
  1. Is aware of the unique strengths of each employee.
  1. Delegates effectively.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Effective in solving problems.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Solves problems using logic and insight.
  1. Works cooperatively with others to solve problems.
  1. Ability to develop innovative solutions to problems.


Goals

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Achieves goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Achieves established goals.
  1. Establishes and documents goals and objectives.
  1. Understands & contributes to development of strategic goals.


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. Can multi-task while performing all of their other responsibilities and activities.
  1. Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
  1. Bounces back from daily crisis, disappointments and frustrations.
  1. Assesses current capabilities before committing to new requests from customers.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Uses technology in decision making and problem solving.
  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. Adopts the implementation of new technology into the workplace.
  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. Organizes and schedules events, activities, and resources.
  1. Assures [Company] principles are understood, employed & pursued.
  1. Encourages me to take on greater responsibility.
  1. Able to organize work.



  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.