Customer Focus - 360 Degree Feedback Survey Sample #11

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Customer Focus

What does Customer Focus mean?
It means that ...
  • You provide excellent service to customers.
  • You make sure your interests are aligned with the customer's interests.
  • I make sure customer needs are understood by the team members.
  • I am available to respond to customer needs.
  • You identify the most pressing needs of each customer.

To what extent does this person exhibit Customer Focus?
Select from one of the ratings below.


What does Planning mean?
It means that ...
  • You are able to balance the needs of multiple stakeholders in developing the plan for the division.
  • I conduct regular assessments of the project status to ensure adherence to the set schedule.
  • I can accurately estimate the amount of materials/supplies needed for the project.
  • I develop plans to help manage expectations and project demands.
  • You ensure that everyone in the department is onboard with the current plan.

To what extent does this person exhibit Planning?
Select from one of the ratings below.

Managing Performance

What does Managing Performance mean?
It means that ...
  • You review job performance shortly after completion of tasks.
  • You are consistent in disciplinary/corrective actions.
  • You ensure employees understand the goals of the organization/department.
  • You address poor performance sooner rather than later.
  • You plan and set work expectations.

To what extent does this person exhibit Managing Performance?
Select from one of the ratings below.

Change Management

What does Change Management mean?
It means that ...
  • I develop strategies for implementing changes.
  • You are effective in dealing with ambiguous and challenging situations.
  • I inspire others to accept the recent changes.
  • I am a leading force driving changes.
  • I facilitate change with minimal resistance.

To what extent does this person exhibit Change Management?
Select from one of the ratings below.

Conflict Management

What does Conflict Management mean?
It means that ...
  • You deal effectively with employee grievances.
  • You help employees to think through alternative ways to resolve conflict situations.
  • You clearly express expectations to others.
  • You identify and takes steps to prevent potential confrontations.
  • You assist team members by helping them see the other point of view.

To what extent does this person exhibit Conflict Management?
Select from one of the ratings below.

Areas for Development

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