Coaching- 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Helps employees to maintain high personal standards.
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to understand responsibilities, authority, and expectations.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Fully embraces the responsibilities that contribute to our departmental success.
Consistently exhibits professionalism in interactions with employees.
Accepts accountability for their work.
Can be counted on to do what they say they are going to do.
Works hard to ensure the success of the department.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for ways to expand current job responsibilities.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Promotes training and development opportunities to enhance job performance.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Sets an example for others to follow
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Delegate tasks effectively
Is ready to offer help
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Adopts the implementation of new technology into the workplace.
Supports technical training and development of employees.
Applies complex rules and regulations to maintain optimal system performance.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effective in strategy formulation and execution.
Makes strategic changes to stay ahead of changes in the business environment.
Develops a strategic focus on internal factors to improve efficiency or conserve limited resources.
Assigns individuals the responsibility of keeping track of progress toward achieving milestones.
Maintains a strategic focus to sustain competitiveness in changing business environments.

31. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




32. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
33. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
34. What changes do you see [Company] making in order to raise the standards?
    
    
    
35. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
36. What do you like best about working for [Company]?
    
    
    
37. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: