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

Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Helps employees to understand responsibilities, authority, and expectations.
Helps employees to maintain high personal standards.
Conducts regular performance appraisals and feedback.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes the initiative to learn new skills.
Seeks opportunities to grow in skills and knowledge.
Pursues learning that will enhance job performance.
Is open to new ideas and concepts.
Participates in regular training offered.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Seeks feedback to enhance performance.
Accepts the views of others.
Is visible and approachable.
Actively seeks feedback from others.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Leads team to set goals, solve problems, and accomplish tasks.
Motivates others to reach and exceed organizational goals and objectives.
Acts decisively in implementing decisions.
Sets clear goals and objectives for subordinates.
Able to influence others.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Routinely holds audits of performance on a weekly or monthly basis.
Establishes indicators to measure levels of performance.
Ensures that team goals are met 85 percent of the time.
Adjusts performance goals as needed to meet the demands of the department/organization.
Addresses grievances sooner rather than later.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
Able to organize work.
Shown significant improvement in job performance.
Works effectively in the department.
Effective in performing his/her job.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Uses appropriate techniques to solve problems.
Analyzes issues and reduces them to their component parts.
Identifies the root cause of a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Analyzes data and information from several sources and arrives at logical conclusions.
Initiative	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Engages with new customers immediately.
Is proactive and gets things done.
Acts quickly to address any issues or problems.
Independently seeks out new learning opportunities to improve their skills.
When working on a problem in a team, they are often the first to suggest possible solutions.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willingly shares information and expertise; sought out as resource by others
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.
Willingly shares his/her technical expertise; sought out as resource by others
Seeks information from others as needed.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Reinforces and rewards employees for accomplishing necessary goals.
Recognizes individuals for a specific outstanding achievement.
Compliments other people when they do good work
Offers recognition in a timely manner.
Finds opportunities to recognize others.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Describes and summarizes data.
Understands and applies business and financial principles.
Applies the knowledge of work processes to influence the achievement of business goals
Considers impact of actions on other areas of the organization.
Creates strategic plans that conform with regulations and industry guidelines.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides budgeting and accounting support to the Company.
Monitors expenses and verifies the need for items purchased.
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops budgets and plans for various programs and initiatives.

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.