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
Is aware of expectations from customers.
Creates customized solutions for the customer.
Coaches team members to continuously improve their customer interactions.
Understands what resources are needed to meet customer needs.
Provides training to others on how to improve customer service.
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
Actively participates in the work of teams; seeks and listens to others' contributions
Creates a climate that encourages team participation.
Works well with other team members.
Works with other team members to achieve objectives.
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
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 that is contingent upon specific levels of achievement.
Offers recognition that is proportional to the accomplishment.
Gives genuine and sincere recognition.
Routinely recognizes employees to show appreciation for their work.
Recognizes and rewards people based on their job performance.
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
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Takes initiative, starts tasks, makes decisions, and drives progress without waiting for instructions or approvals.
Exhibits personal ambition and drive.
Encourages and supports team members to take initiative and overcome challenges.
Always delivers on promises.
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
Assists team members in reaching their objectives.
Has developed strong organizational and time management skills allowing for the completion of a variety of goals.
Serves as a committed partner to significantly enhance the probability of achieving objectives.
Establishes a clear link between shorter, task-specific goals and overarching, long-term performance goals.
Sets goals that ensure all actions contribute to the company's progress and success.
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.
Views setbacks as opportunities to learn from.
Builds on their strengths while addressing their weaknesses.
Pursues professional development opportunities when they arise.
Seeks opportunities to grow in skills and knowledge.
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
Sets performance goals high enough that changes in the workflow are required to meet them.
Shares important information about the department/company to inform employees of the need for changes.
Sponsors and promotes organizational change.
Tailors leadership methods to fit shifting business needs.
Assists others in understanding changes to the organization.
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
Encourages open dialogue and ensures all voices are heard during team discussions.
Fosters a diverse workforce free from discrimination and harassment.
Seeks knowledge and information about other cultures.
Recognizes individual and cultural differences.
Effective in working with individuals with a variety of 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.