Customer Focus- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Customer Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Prioritizes the needs and preferences of the customer.
Exhibits a positive attitude even when dealing with difficult customers.
Is pro-active in dealing with customers and addressing their needs.
Helps others in responding to customer needs.
Creates documents that meet the customer's specifications.
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
Acts as an effective team player
Fosters an environment that promotes active listening on the team.
Actively and openly participates in team meetings.
Coaches team members to work toward a common goal.
Listens to other team members without interrupting them.
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
Is sincerely interested in the suggestions of co-workers
Recognizes the abilities and skills of self and others
Compliments other people when they do good work
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
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
Identifies ways to simplify work processes and reduce cycle times
Completes work on time
Conveys a sense of urgency about addressing problems and opportunities
Motivates others to achieve or exceed goals
Completes a large volume of work.
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
Sets high expectations and goals; encourages others to support the organization.
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that I have a clear idea of our group's goals.
Achieves goals.
Establishes and documents goals and objectives.
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
Pursues self-improvement through continual learning.
Takes charge of their training and skills enhancement.
Grasps new ideas, concepts, technical, or business knowledge.
Pursues learning that will enhance job performance.
Is open to new ideas and concepts.
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
Works cooperatively with others to implement changes.
Assists others in understanding changes to the organization.
Effective in implementing new organizational vision and values.
Facilitates change with minimal resistance.
Adopts changes to set and example for others to follow.
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
Seeks out different viewpoints and benefits from different perspectives.
Functions effectively within various cultural contexts.
Recognizes and values individual and cultural differences.
Communicates with others without the influence of racism.
Willing to work with employees who 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.