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)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
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.

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 understand responsibilities, authority, and expectations.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Helps employees to maintain high personal standards.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Develops the skills and capabilities of others.
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. Is creative and inspirational.
  1. Is creative.
  1. Conceives, implements and evaluates ideas.
  1. Inspires creativity in their team.
  1. Adds value to the department/organization.
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. Is gracious and professional in their interactions with others.
  1. Visibly supports and encourages diversity in style and background.
  1. Contributes to a positive work environment.
  1. Contributes to a positive and fun work environment.
  1. Works to eliminate unnecessary work or barriers that get in others' way.
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. Creates effective policies regarding quality of services and products.
  1. Consistently provides timely, accurate, and reliable information on quality measures.
  1. Views quality issues as a system failure rather than an individual failure.
  1. Reflects on what is working and what could be improved.
  1. Encourages others to achieve high quality standards.
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. Makes use of talents of others to help achieve a high level of performance.
  1. Sets challenging goals for the department.
  1. Is flexible in adjusting priorities to meet the demands of changing situations.
  1. Strives to exceed standards of performance.
  1. Eliminates bureaucratic barriers to streamline processes.
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. Creates dynamic and responsive enterprise risk management processes.
  1. Understands how to meet regulatory compliance.
  1. Takes steps to minimize the impact/damage of the risk events.
  1. Works effectively to mitigate risks.
  1. Determines the impact of specific risks on finances.
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. Uses client feedback to help improve products and services.
  1. Creates customized solutions for the client.
  1. Demonstrates a commitment to client focus.
  1. Maintains strong relationships with clients.
  1. Gives feedback to the client regularly.
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. Consistently demonstrates ability and willingness to trust others.
  1. Helpful
  1. Forms working relationships with employees from other departments.
  1. Supports the efforts of other employees in implementing solutions to problems.
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 explain departmental policies and procedures to others.
  1. Understands the current organizational culture.
  1. Effective in communicating with others within the organization.
  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.
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. Has positive interactions with individuals from different cultures and backgrounds.
  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. Can effectively deliver presentations to international clients.
  1. Able to listen and understand others and discuss issues in a respectful way.
  1. Accepts setbacks and challenges in foreign markets as improvement opportunities
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.