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
Develops strong customer relationships.
Exceeds expectations of the customers.
Creates documents that meet the customer's specifications.
Creates innovative solutions for the customers.
Delivers on commitments made to customers.
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
Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Works cooperatively with others to solve problems.
Takes the time to actively listen to other team member's perspectives.
Builds a strong rapport with team members.
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
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Makes people around them feel appreciated and valued.
Reinforces and rewards employees for accomplishing necessary goals.
Is sincerely interested in the suggestions of co-workers
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
Encourages risk taking and experimentation to improve performance
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Identifies ways to simplify work processes and reduce cycle times
Displays high energy and enthusiasm on consistent basis.
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
Makes sure that I have a clear idea of our group's goals.
Establishes and documents goals and objectives.
Goal Setting
Understands & contributes to development of strategic goals.
Conducts timely follow-up; keeps others informed on a need to know basis.
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.
Pursues learning that will enhance job performance.
Seeks opportunities to grow in skills and knowledge.
Builds on their strengths while addressing their weaknesses.
Views setbacks as opportunities to learn from.
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
Inspires others to accept changes.
Adopts changes to set and example for others to follow.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Facilitates change with minimal resistance.
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
May advocate for others with different cultural backgrounds.
Functions effectively within various cultural contexts.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Acknowledges their own biases in cultural interactions.
Fosters a diverse workforce free from discrimination and harassment.
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.