Coaching- 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts regular performance appraisals and feedback.
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Views setbacks as opportunities to learn from.
Takes the initiative to learn new skills.
Shares best practices with others and learns from others.
Seeks opportunities to grow in skills and knowledge.
Sets relevant learning objectives and goals.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Considers other's opinion and suggestions.
Open to the suggestions of others.
Accepts the views of others.
Shares past experiences with others as learning opportunities.
Actively seeks feedback from others.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Highly effective supervisor.
Sets clear goals and objectives for subordinates.
Able to influence others.
Holds others accountable for their actions.
Motivates others to reach and exceed organizational goals and objectives.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assesses employee performance against defined standards.
Identifies specific actions to be addressed through the remediation plan.
Sets and maintains high standards for self and others.
Sets the Objectives and Key Results (OKRs) required for the position.
Is consistent in disciplinary/corrective actions.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to organize work.
Effectively organizes resources and plans
Has great overall performance
Shown significant improvement in job performance.
Effective in performing his/her job.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Establishes connections between different pieces of information to see the bigger picture.
Analyzes data to meet the needs of clients.
Presents quantitative data in a clear and concise manner aiding in making persuasive and evidence-based arguments.
Assesses the validity and correctness of the data before using it to draw conclusions.
Selects the solution that offers the best outcome based on the analysis.
Initiative	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes corrective action to address performance deficiencies/issues.
Is proactive when preparing for potential problems or critical events.
Is an inspiration for others to perform above expectations.
Creates solutions to problems as soon as an incident occurs.
Expands the offerings of the department by working evenings and weekends.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Willingly shares his/her technical expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Knows how to produce high quality products/work.
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Recognizes team members who offer a significant contribution to a project.
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Reinforces and rewards employees for accomplishing necessary goals.
Readily shares credit and gives others opportunity for visibility.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates unique strategies that impact the Company.
Creates a risk management strategy to meet the business needs of the organization.
Asks the 'right' questions to size up or evaluate situations.
Converses with customers and clients to get a better insight into their business needs.
Involves key stakeholders (employees, customers, investors, partners) in the planning process to gain diverse perspectives and buy-in.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops of the department's annual budget.
Keeps excellent records for financial transparency.
Monitors spending.
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.

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

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

    
    
62. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
63. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
64. Additional comments, if any for [Participant Name Here]'s assessment.