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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Management Team

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Coaching	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Helps employees to understand responsibilities, authority, and expectations.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can be counted on to do what they say they are going to do.
Defines roles, rights, and responsibilities of the team.
Demonstrates a commitment to taking responsibility for actions.
Takes ownership of mistakes and learns from them.
Exhibits good governance in their role as an executive.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to control their own emotions.
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses appropriate techniques to solve problems.
Uses cognitive skills or strategies that increase the probability of a desirable outcome.
Understands complex issues and problems.
Able to recall relevant information when needed.
Tests hypotheses, analyze experimental data, and draw conclusions.
Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Examines relevant factors needed to make a decision.
Applies creative reasoning in making decisions.
Gathers information before making a decision.
Outlines the parameters influencing the decision making process.
Decides which short- and long-term goals should be created.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes calculated risks to achieve difficult goals.
Takes calculated risks.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Follows-up and takes action when goals are not met to ensure better results in the future.
Sets ambitious standards of performance.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks to reduce ambiguity in messaging and documents.
Maintains clarity in goals and objectives.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Provides a clear vision for the future.
Is clear about the roles and duties of team members.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Integrates risk management processes, data, and analytics across the company.
Develops policies for risk management.
Is concerned about process safety management.
Determines which are the serious threats.
Monitors risk events and notifies appropriate stakeholders.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops partnerships with other colleagues in the industry.
Establishes collaborative business relationships to unlock and enhance growth opportunities.
Creates value within the Company by building networks.
Strengthens the contacts with other departments.
Engages in cross-functional activities by collaborating across boundaries.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
Compliments other people when they do good work
Recognizes team members who offer a significant contribution to a project.
Recognizes the abilities and skills of self and others
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes records and reports to obtain insight into potential issues and trends.
Ensures that the department's goals are strategically aligned with the company's goals.
Formulates policies and strategies for addressing the Company's important challenges.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Understands how to strategically grow the business and increase customers.

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.