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
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Provides clear, motivating, and constructive feedback.
Accountability	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Honors the commitments and promises made to customers/clients.
Develops goals and establishes objective measures of success.
Accepts responsibility to lead efforts to solving critical problems.
Establishes who is responsible for various aspects of the project.
Does not make excuses for missed deadlines.
Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Analytical	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Selects the appropriate techniques for analysis.
Identifies the root cause of a problem.
Identifies problems and issues needing resolution.
Uses appropriate techniques to solve problems.
Asks the "right" questions to size up or evaluate situations.
Decision Making	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Gathers information before making a decision.
Evaluates information before making a final decision.
Willing to change their strategy if new information arises.
Determines the costs and potential benefits of decisions.
Maintains focus on the "big picture" when making decisions.
Achievement	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Takes calculated risks to achieve significant rewards.
Increased production by 20 percent.
Reduced department expenses by 25 percent.
Increased customer satisfaction scores for the quarter.
Completes work promptly and efficiently.
Clarity	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is clear about the roles and duties of team members.
Uses appropriate grammar and tense in communications.
Writes clear job descriptions for positions in the organization.
Clearly explains responsibilities to individuals.
Provides a clear vision for the future.
Managing Risk	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops policies for risk management.
Uses risk management to remain in compliance with regulations.
Creates dynamic and responsive enterprise risk management processes.
Tracks risks in a project.
Determines a proportional response in relation to the level of risk.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Organizing team-building activities to strengthen bonds between colleagues.
Successfully identifies complementary and compatible strategic partners with colleagues in the industry.
Seeks opportunities to meet with others.
Engages in partnerships to share risks and resources.
Guarantees equitable and fair treatment for all network participants.
Recognition	Role Model	Capable and Effective	Somewhat Effective	Needs Development
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
Says "thank you" to show appreciation for work of others.
Lets employees know when they have done well
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates business cycles and trends and makes adjustments in a timely manner.
Inspires employees to adopt the strategic plan.
Analyzes unique issues or problems impacting the Company.
Identifies root causes of problems.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.

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.