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
Focuses on providing excellent customer service.
Acts with integrity in all customer interactions.
Tailors solutions to meet the specific needs of each customer.
Builds long term relationships with customers.
Looks for opportunities that have a positive impact on 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
Takes the time to listen to the team's ideas.
Fosters an environment that promotes active listening on the team.
Asks other team members to share their opinions.
Communicates a clear message that teamwork and collaboration are expected.
Promotes a team spirit within and outside department; partners with other groups.
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
Finds opportunities to recognize others.
Readily shares credit and gives others opportunity for visibility.
Recognizes the abilities and skills of self and others
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
Displays high energy and enthusiasm on consistent basis.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Seeks and utilizes opportunities for continuous learning and self-development.
Completes a large volume of work.
Completes work on time
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
Conducts timely follow-up; keeps others informed on a need to know basis.
Makes sure that team members have a clear idea of our group's goals.
Achieves goals.
Understands & contributes to development of strategic goals.
Achieves established 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
Takes the initiative to learn new skills.
Participates in regular training offered.
Seeks opportunities to grow in skills and knowledge.
Takes charge of their training and skills enhancement.
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
Able to get department employees to accept new changes.
Supports the Company's efforts to implement changes.
Able to get team members to change their attitudes.
Inspires others to accept changes.
Develops a strategy for implementing changes.
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
Understands what customs and etiquette are important for individuals from other cultures.
Actively listens to other employees' stories about their culture.
Acknowledges their own biases in cultural interactions.
Seeks out different viewpoints and benefits from different perspectives.
Is curious and willing to ask questions about the cultural differences in the workplace.
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.