Customer Focus- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates high quality products for the customers.
Adapts to changing customer needs.
Ensures customers are comfortable with the services provided.
Responsive to customer needs.
Accepts responsibility for ensuring customer satisfaction.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Listens to other team members without interrupting them.
Shares credit for accomplishments with team members
Facilitates good rapport between team members.
Provides assistance and support to other team members when needed
Creates a climate that encourages team participation.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Recognition	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Says "thank you" to show appreciation for work of others.
Offers recognition in a timely manner.
Readily shares credit and gives others opportunity for visibility.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?
Bias for Action	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Completes work on time
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Displays high energy and enthusiasm on consistent basis.
Encourages risk taking and experimentation to improve performance
Conveys a sense of urgency about addressing problems and opportunities
If [Participant Name] were to make improvements in Bias for Action, what are your suggestions for how he/she can improve this?
Goals	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Establishes and documents goals and objectives.
Achieves goals.
Understands & contributes to development of strategic goals.
Makes sure that I have a clear idea of our group's goals.
Makes sure that team members have a clear idea of our group's goals.
If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?
Continual Learning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Improves on their skill sets.
Pursues learning that will enhance job performance.
Takes charge of their training and skills enhancement.
Views setbacks as opportunities to learn from.
Participates in regular training offered.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?
Change Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Able to get department employees to accept new changes.
Is a leading force driving changes.
Develops a strategy for implementing changes.
Develops plans for following through on the changes.
Inspires others to want to change.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Willing to work with employees who have different cultural backgrounds.
Is responsive to individuals from other cultures.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
Develops skills and attitudes to bridge cultural differences.
Engages with individuals that have different cultural backgrounds.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.