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
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear reasons for underperformance.
Takes full responsibility for lack of results achieved.
Holds self and others accountable for meeting the deadline.
Makes sure the supervisor is always informed of any important events.
Is someone you can trust.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Open to the suggestions from others.
Looks for ways to expand and learn new job skills.
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
Delegate tasks effectively
Takes responsibility for things that go wrong
Keep staff informed about what is happening in the company
Makes you feel enthusiastic about your work
Sets an example for others to follow
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Uses technology in decision making and problem solving.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Proficient in the use of technical systems and processes.
Applies complex rules and regulations to maintain optimal system performance.
Supports technical training and development of employees.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes strategic decisions that take into account a dynamic situation.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Determines the best strategy for achieving elevated levels of performance.
Develops strategies to increase efficiency and reduce environmental impacts.
Identifies business strategies to strengthen competitive capabilities.

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: