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
Maintains positive customer relationships.
Develops good rapport and trust with the customer.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Considers customers point of view when making decisions.
Ensures all customer commitments and requirements are met or exceeded.
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
Act as an effective team player
Contributes to and supports team decision-making process
Creates opportunities to learn with other team members
Encourages teamwork and collaboration.
Actively participates in the work of teams; seeks and listens to others' contributions
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
Offers recognition in a timely manner.
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Recognizes individuals for a specific outstanding achievement.
Recognizes the abilities and skills of self and others
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
Seeks and utilizes opportunities for continuous learning and self-development.
Displays high energy and enthusiasm on consistent basis.
Completes work on time
Completes a large volume of work.
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.
Makes sure that team members have a clear idea of our group's goals.
Goal Setting
Achieves established goals.
Achieves 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
Sets relevant learning objectives and goals.
Improves on their skill sets.
Grasps new ideas, concepts, technical, or business knowledge.
Is open to new ideas and concepts.
Pursues self-improvement through continual learning.
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
Assists others in understanding changes to the organization.
Adopts changes to set and example for others to follow.
Works cooperatively with others to implement changes.
Effective in implementing new organizational vision and values.
Effective in dealing with ambiguous and challenging situations.
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
Respects others regardless of age, race, gender, nationality, or disability.
Values the opinions of diverse groups and individual.
Recognizes and values individual and cultural differences.
Fosters a diverse workforce free from discrimination and harassment.
Encourages a work environment where individual differences are valued.
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.