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 maintain positive customer relationships.
  • You do not hesitate to address customer concerns or complaints.
  • You consistently model positive customer service attitudes.
  • You develop strong customer relationships.
  • You consider customers point of view when making decisions.

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 identify the needs of the department before a major change.
  • You make plans and follows through.
  • You anticipate obstacles and ways to overcome them.
  • You are able to look ahead (beyond the present) when addressing the work/needs of the department.
  • You anticipate potential challenges, develops plan to overcome them and then carries out the 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 obtain commitment from employees regarding completion of tasks.
  • You review job performance shortly after completion of tasks.
  • You prioritize the work of others.
  • You provide employees with necessary resources to accomplish your goals.
  • You make sure commitments are understood and met.

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 ...
  • You are effective in dealing with ambiguous and challenging situations.
  • You support the Company's efforts to implement changes.
  • You support new initiatives for organizational changes to improve effectiveness.
  • You work cooperatively with others to implement changes.
  • You assist others in understanding changes to the organization.

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 help employees to think through alternative ways to resolve conflict situations.
  • You identify and takes steps to prevent potential confrontations.
  • You discuss conflict situations with supervisor.
  • You deal effectively with employee grievances.
  • You clearly express expectations to others.

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.