Coaching- 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps employees to understand responsibilities, authority, and expectations.
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
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Demonstrates a commitment to taking responsibility for actions.
Willingly accepts the consequences for their actions.
Consistently strives to meet high standards of excellence.
Informs supervisor of progress without having to be asked about it.
Works hard to ensure the success of the department.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Able to understand others' points of view.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is able to express themselves clearly.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies opportunities for progress and innovation.
Analyzes issues and reduces them to their component parts.
Prioritizes various actions to be taken when solving a problem.
Implements data validation techniques and methods.
Identifies problems and issues needing resolution.
Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Weighs the pros and cons of decisions.
Defines what constraints must be met for the decision making process.
Understands how different perspectives can help make better informed decisions.
Regularly evaluates information before making important decisions.
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Holds others to high standards of achievement.
Created impactful reports for the re-organization committee.
Takes reasonable risks to achieve desired results.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Is determined to complete tasks regardless of obstacles that may occur.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids stating unclear or conflicting goals.
Checks details thoroughly.
Clearly explains the vision and goals of the company.
Provides a clear vision for the future.
Uses appropriate grammar and tense in communications.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates a level of resilience in the organization.
Accurately perceives potential risks in the workplace.
Accurately determines appropriate risk levels (i.e., levels of acceptable risk).
Aware of appropriate actions to minimize risks.
Prioritizes the risks to determine the most pressing needs.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can perform a SWOT analyses (Strengths, Weaknesses, Opportunities, Threats) of the partnership's potential outcomes.
Encourages employees to explore new partnership opportunities to expand market presence.
Creates strategic partnerships when resources are limited.
Facilitates inter-departmental collaboration and information sharing.
Engages with partners that offer complementary services and competencies.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes people around them feel appreciated and valued.
Recognizes team members who offer a significant contribution to a project.
Is sincerely interested in the suggestions of co-workers
Compliments other people when they do good work
Lets employees know when they have done well
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes records and reports to obtain insight into potential issues and trends.
Adjusts strategic plans based on insights gathered from different points of view.
Observes employees at work to get better insight into the issues they are dealing with.
Maintains knowledge of current trends in the industry.
Formulates policies and strategies for addressing the Company's important challenges.

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

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.