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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; floating anchors)
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.

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.
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Coaching

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Provides clear, motivating, and constructive feedback.
  1. Helps the employee to improve their performance.
  1. Helps individuals explore their strengths, aspirations, and areas for growth.
  1. Provides assignments and experiences to develop employees.
  1. Helps the employee to understand factors impacting the organization
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. Breaks from the familiar patterns to uncover radically different possibilities.
  1. Creates space for developing ideas and refining them through iteration.
  1. Sees learning as the engine of creativity, fueling fresh perspectives and novel ideas.
  1. Drives innovation by integrating perspectives from multiple teams.
  1. Facilitates training that enhances imaginative and innovative capabilities.
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. Models resilience in the face of adversity.
  1. Enjoys working for [Company]
  1. Encourages the team to experiment and learn, reinforcing that setbacks are a natural part of progress.
  1. Celebrates the small wins (both personal and team-wide) with visible appreciation and encouragement.
  1. Responds well to instructions and assignments.
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. Sets benchmarks for quality improvements.
  1. Effectively anticipates quality issues and addresses them before they impact production lines.
  1. Makes sure cleanliness standards are met to reduce the possibility of contamination.
  1. Responds to issues immediately.
  1. Demonstrates a strong commitment to achieving quality goals.
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. Encourages a culture of mentorship and continuous improvement, helping others reach their full potential.
  1. Maintains high performance standards.
  1. Balances risk and reward with thoughtful strategies that propel success.
  1. Sets ambitious standards of performance.
  1. Increased revenue for the company.
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. Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
  1. Fosters an awareness and a shared responsibility for managing risk at all levels of the Company.
  1. Uses risk management to make better strategic decisions.
  1. Evaluates risks in terms of their consequences and likelihood of occurrence.
  1. Decides what actions will be taken.
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 honest in all communication with the clients.
  1. Satisfies client needs.
  1. Is aware of what the client wants to receive.
  1. Views client satisfaction as an everyday priority.
  1. Uses feedback from clients to help improve services.
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. Consistently demonstrates ability and willingness to trust others.
  1. Works effectively with people from other departments.
  1. Is able to see issues from others' perspectives.
  1. Forms working relationships with employees from other departments.
  1. Constructively receives criticism and suggestions from others.
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 use corporate politics to advance department objectives.
  1. Able to explain departmental policies and procedures to others.
  1. Effective in communicating with others within the organization.
  1. Understands the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
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. 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. Is aware of the culture, behaviors, identities and beliefs of others.
  1. Sets the example for team on importance of cultural awareness.
  1. Communicates effectively on a multi-lingual basis.
  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.