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
Focuses on providing excellent customer service.
Creates innovative solutions to meet customer needs.
Anticipates customer needs.
Has received good feedback from customers.
Thoroughly understands the needs of the customer.
Communication Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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.
An effective listener who is responsive to information needs.
Listens to others' points of view with an open mind
Addresses issues of key importance to stakeholders.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Encourages a work environment where individual differences are valued.
Values the diverse perspectives from others.
Aware of their own cultural views.
Is curious and willing to ask questions about the cultural differences in the workplace.
Seeks knowledge and information about other cultures.
Establishing Focus/Direction	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains focus when handling several problems or tasks simultaneously.
Sets appropriate goals for employees.
Aligns the department's goals with the goals of the organization.
Excellent at managing time.
Stays focused even when under pressure and stress.
Supervisory Skills	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes when employees have completed major milestones.
Knows the best ways to communicate effectively with different types of employees.
Completes assessments in a timely manner.
Makes sure employees are working toward goals set by the company.
Fosters an environment that supports open communication.
Problem Solving	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and assesses all potential responses to a problem.
Makes judgments based upon relevant information.
Implements effective solutions to critical problems.
Ability to develop innovative solutions to problems.
Finds creative ways to get things done with limited resources.
Goals	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands & contributes to development of strategic goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
Establishes and documents goals and objectives.
Goal Setting
Makes sure that I have a clear idea of our group's goals.
Juggling Multiple Responsibilities	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Assigns tasks based on skills of team members.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Assesses current capabilities before committing to new requests from customers.
Determines which tasks are critical and which tasks are optional.
Organizes tasks for the most efficient order of completion.
Technology Use/Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports employee training and development initiatives regarding implementation of technology.
Applies complex rules and regulations to maintain optimal system performance.
Uses technology in decision making and problem solving.
Understands and is committed to implementing new technologies.
Adopts the implementation of new technology into the workplace.
Objectives	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Communicates goals and objectives to employees.
Encourages me to take on greater responsibility.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Works toward achieving established goals and objectives.

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.