Coaching- 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Coaching:
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)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Coaching, Creativity, Attitude, Quality, Achievement, Managing Risk, Client Focus, Others, Organizational Fluency, Global Perspective
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.


Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps employees to maintain high personal standards.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Provides clear, motivating, and constructive feedback.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
What are your suggestions for how [Participant Name] can make improvements
in Coaching?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Conceives, implements and evaluates ideas.
  1. Develops solutions to challenging problems.
  1. Is creative and inspirational.
  1. Adds value to the department/organization.
  1. Creates a lot of new ideas.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Attitude

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Builds open and trusting relationships.
  1. Shows by their actions that they trust in the positive intentions of others.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive and fun work environment.
  1. Contributes to a positive work environment.
What are your suggestions for how [Participant Name] can make improvements
in Attitude?

Quality

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Develops and maintains quality control checklists for the manufacturing department.
  1. Corrects issues in a timely manner.
  1. Communicates with team members regarding best quality practices.
  1. Always strives to produce the highest quality work products.
  1. Proposes a variety of solutions to address quality needs.
What are your suggestions for how [Participant Name] can make improvements
in Quality?

Achievement

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
  1. Reduced department expenses by 25 percent.
  1. Improved the quality of work on the production line.
  1. Met required benchmarks for the position.
  1. Inspires others to work with a sense of urgency.
What are your suggestions for how [Participant Name] can make improvements
in Achievement?

Managing Risk

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Designs risk response activities that are proportionate to the level of risk.
  1. Uses risk management to ensure smooth operations.
  1. Monitors risk events and notifies appropriate stakeholders.
  1. Perceives the risks of different work tasks and activities.
  1. Committed to implementing rules and procedures to minimize risk.
What are your suggestions for how [Participant Name] can make improvements
in Managing Risk?

Client Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is committed to the success of the client.
  1. Forms strong client relationships
  1. Has received good feedback from clients.
  1. Gets feedback from the client on a weekly basis.
  1. Exceeds expectations of the clients.
What are your suggestions for how [Participant Name] can make improvements
in Client Focus?

Others

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. ...treats others with respect and dignity.
  1. Constructively receives criticism and suggestions from others.
  1. Includes others in the decision making processes.
  1. Forms working relationships with employees from other departments.
  1. Helpful
What are your suggestions for how [Participant Name] can make improvements
in Others?

Organizational Fluency

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to explain departmental policies and procedures to others.
  1. Effective in communicating with others within the organization.
  1. Anticipates problems that may affect the department.
What are your suggestions for how [Participant Name] can make improvements
in Organizational Fluency?

Global Perspective

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Is able to work with individuals having different backgrounds and cultures.
  1. Analyzes global issues/problems that are having a large impact on the Company.
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Volunteers for experiences and assignments abroad.
  1. Demonstrates a curiosity about diverse individuals and cultures.
What are your suggestions for how [Participant Name] can make improvements
in Global Perspective?


  1. Strengths


  2. Areas for Development


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