Customer Focus- 360 Degree Feedback Survey Sample #8

Questionnaires Measuring Customer Focus:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Customer Focus

Agree Unsure Disagree N/A
  1. Maintains positive customer relationships.
  1. Considers customers point of view when making decisions.
  1. Develops strong customer relationships.
  1. ...friendliness and courtesy
  1. Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.

Communication Skills

Agree Unsure Disagree N/A
  1. Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
  1. Checks for understanding throughout conversations or group presentations/discussions
  1. Conveys ideas confidently and succinctly.
  1. Able to deliver presentations.
  1. Able to demonstrate persuasiveness in pursuit of objectives.

Supervisory Skills

Agree Unsure Disagree N/A
  1. Appropriately recognizes and rewards employees.
  1. Is aware of the unique strengths of each employee.
  1. Provides constructive, ongoing feedback.
  1. Treats all staff equitably.
  1. Delegates effectively.

Self Management

Agree Unsure Disagree N/A
  1. Steps away from a situation to process appropriate response.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Consciously controls own negative emotions in order to keep team morale up.
  1. Does not allow own emotions to interfere with the performance of others.


Agree Unsure Disagree N/A
  1. Invoices clients on a timely basis.
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Responds to requests for information in a timely manner.
  1. Starts the workday when scheduled.

Project Management

Agree Unsure Disagree N/A
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Maintains costs and expenses within budget limits.
  1. Regularly reviews project performance and goals.
  1. Defines project outcomes based on customer requirements.
  1. Organizes work and sets priorities as needed.


Agree Unsure Disagree N/A
  1. Immediately works to complete goals well before their deadline.
  1. Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
  1. Goes above and beyond the stated goals.
  1. Takes action without being asked.
  1. Takes the initiative to change the direction or course of events.

Fiscal Management

Agree Unsure Disagree N/A
  1. Develops budgets and plans for various programs and initiatives.
  1. Monitors spending.
  1. Effective in using Company's resources.
  1. Keeps excellent records for financial transparency.
  1. Monitors expenses and verifies the need for items purchased.

Strategic Insight

Agree Unsure Disagree N/A
  1. Identifies root causes of problems.
  1. Analyzes records and reports to obtain insight into potential issues and trends.
  1. Anticipates business cycles and trends and makes adjustments in a timely manner.
  1. Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
  1. Identifies potential problems before they become critical incidents.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.