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
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Accountability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works hard to ensure the success of the department.
Holds employees responsible if expectations are not met.
Honors the commitments and promises made to customers/clients.
Shows up for work on time.
Takes responsibility for errors in the production line.
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.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Looks for ways to improve work processes and procedures.
Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Delegate tasks effectively
Takes responsibility for things that go wrong
Sets an example for others to follow
Keep staff informed about what is happening in the company
Is ready to offer help
Technology Use/Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understands and is committed to implementing new technologies.
Supports employee training and development initiatives regarding implementation of technology.
Uses technology in decision making and problem solving.
Supports technical training and development of employees.
Proficient in the use of technical systems and processes.
Strategic Focus	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains a strategic focus on external factors impacting the success of the company.
Aligns projects to the strategic goals of the company.
Makes strategic changes to stay ahead of changes in the business environment.
Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
Able to identify internal strengths and weaknesses and the opportunities and threats that impact the company.

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: