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. Focuses on providing excellent customer service.
  1. Creates innovative solutions to meet customer needs.
  1. Anticipates customer needs.
  1. Has received good feedback from customers.
  1. Thoroughly understands the needs of the customer.


Communication Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  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. Delivers well-prepared, informed, poised and succinct presentations.
  1. An effective listener who is responsive to information needs.
  1. Listens to others' points of view with an open mind
  1. Addresses issues of key importance to stakeholders.


Cultural Awareness

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Encourages a work environment where individual differences are valued.
  1. Values the diverse perspectives from others.
  1. Aware of their own cultural views.
  1. Is curious and willing to ask questions about the cultural differences in the workplace.
  1. Seeks knowledge and information about other cultures.


Establishing Focus/Direction

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains focus when handling several problems or tasks simultaneously.
  1. Sets appropriate goals for employees.
  1. Aligns the department's goals with the goals of the organization.
  1. Excellent at managing time.
  1. Stays focused even when under pressure and stress.


Supervisory Skills

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Recognizes when employees have completed major milestones.
  1. Knows the best ways to communicate effectively with different types of employees.
  1. Completes assessments in a timely manner.
  1. Makes sure employees are working toward goals set by the company.
  1. Fosters an environment that supports open communication.


Problem Solving

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Identifies and assesses all potential responses to a problem.
  1. Makes judgments based upon relevant information.
  1. Implements effective solutions to critical problems.
  1. Ability to develop innovative solutions to problems.
  1. Finds creative ways to get things done with limited resources.


Goals

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Understands & contributes to development of strategic goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. Goal Setting
  1. 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
  1. Assigns tasks based on skills of team members.
  1. Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Determines which tasks are critical and which tasks are optional.
  1. Organizes tasks for the most efficient order of completion.


Technology Use/Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Adopts the implementation of new technology into the workplace.


Objectives

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Communicates goals and objectives to employees.
  1. Encourages me to take on greater responsibility.
  1. Effectively organizes resources and plans
  1. Organizes and schedules events, activities, and resources.
  1. Works toward achieving established goals and objectives.



  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.