Coaching- 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Coaching, Professional Development, Feedback, Persuasion and Influence, Action, Bias for Action, Delegation, Change Management, Juggling Multiple Responsibilities, Objectives, Conflict Management, Teamwork
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Coaching

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Addresses employee behavior problems effectively.
  1. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
Please feel free to provide any comments to help explain your answers?

Professional Development

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Seeks opportunities for continuous learning.
  1. Contributing fully to the extent of their skills
  1. Quickly acquire and apply new knowledge and skills when needed
  1. Allows employees to fully participate in employee training and professional development.
  1. Keep themselves up-to-date of technical/professional issues
Please feel free to provide any comments to help explain your answers?

Feedback

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is visible and approachable.
  1. Is easy to approach with ideas and opinions.
  1. Shares past experiences with others as learning opportunities.
  1. Seeks feedback to enhance performance.
  1. Accepts the views of others.
Please feel free to provide any comments to help explain your answers?

Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates effectively with others.
  1. Able to express own goals and needs.
  1. Understanding what others need.
  1. Develops a good rapport with others.
  1. Persuades others to consider alternative points of view.
Please feel free to provide any comments to help explain your answers?

Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Approves purchase requests in a timely manner.
  1. Fixes problems when they occur.
  1. Focuses on tasks without being distracted.
  1. Seeks new opportunities for advancement.
  1. Is decisive when making decisions.
Please feel free to provide any comments to help explain your answers?

Bias for Action

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Completes a large volume of work.
  1. Conveys a sense of urgency about addressing problems and opportunities
  1. Displays high energy and enthusiasm on consistent basis.
  1. Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
  1. Seeks and utilizes opportunities for continuous learning and self-development.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Allows employees to decide how they wish to complete the tasks.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Entrusts subordinates with important tasks.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Tells subordinates what to do, not how to do it.
Please feel free to provide any comments to help explain your answers?

Change Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Is a leading force driving changes.
  1. Able to get team members to change their attitudes.
  1. Develops plans for following through on the changes.
  1. Able to get department employees to accept new changes.
  1. Supports new initiatives for organizational changes to improve effectiveness.
Please feel free to provide any comments to help explain your answers?

Juggling Multiple Responsibilities

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Please feel free to provide any comments to help explain your answers?

Objectives

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates goals and objectives to employees.
  1. Sets long-term and short-term goals.
  1. Encourages me to take on greater responsibility.
  1. Effectively organizes resources and plans
  1. Consistently provides me with timely feedback for improving my performance.
Please feel free to provide any comments to help explain your answers?

Conflict Management

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Attempts to accommodate vital interests of those who felt alienated or suffered injustice.
  1. Combines different ideas and viewpoints.
  1. Combines ideas and viewpoints of different team members.
  1. Facilitates dialog between team members.
  1. Seeks to avert the recurrence of conflict issues.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Works with other team members to achieve objectives.
  1. Makes decisions that support the team's goals and objectives.
  1. Facilitates good rapport between team members.
  1. Shares pertinent information with all members of the team.
  1. Helps other team members to research solutions to a problem.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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