Customer Focus - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Customer Focus

  • Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
  • Develops good rapport and trust with the customer.
  • Ensures all customer commitments and requirements are met or exceeded.
  • Develops strong customer relationships.
  • Maintains positive customer relationships.
If [Participant Name] were to make improvements in Customer Focus, what are your suggestions for how he/she can improve this?


  • Able to adapt the department to changing business demands and climate.
  • Has a strategic awareness on how to promote the organization.
  • Excellent at managing relationships with stakeholders.
  • Exhibits determination and passion in completion of goals.
  • Finds unique ways to go around barriers to success.
If [Participant Name] were to make improvements in Entrepreneurship, what are your suggestions for how he/she can improve this?


  • Adds value to the department/organization.
  • Creates a lot of new ideas.
  • Develops solutions to challenging problems.
  • Is creative and inspirational.
  • Conceives, implements and evaluates ideas.
If [Participant Name] were to make improvements in Creativity, what are your suggestions for how he/she can improve this?

Cultural Awareness

  • Encourages a work environment where individual differences are valued.
  • Treats others with dignity and respect.
  • Seeks out different viewpoints and benefits from different perspectives.
  • Values the opinions of diverse groups and individual.
  • Recognizes and values individual and cultural differences.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?


  • Produces high quality work.
  • Can be counted on to add value wherever they are involved.
  • Is planful and organized.
  • Demonstrates the analytical skills to do their job.
  • Demonstrates the functional or technical skills necessary to do their job.
If [Participant Name] were to make improvements in Excellence, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].


Areas for Development

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