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
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
Helps employees to understand responsibilities, authority, and expectations.
Conducts regular performance appraisals and feedback.
Provides clear, motivating, and constructive feedback.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Improves on their skill sets.
Grasps new ideas, concepts, technical, or business knowledge.
Participates in regular training offered.
Shares best practices with others and learns from others.
Sets relevant learning objectives and goals.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks others for their ideas and opinions.
Open to the suggestions of others.
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Looks to others for input.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Motivates others to reach and exceed organizational goals and objectives.
Takes ownership and accountability for results
Able to influence others.
Sits down regularly with employees to review their job performance.
Gives direct, constructive, and actionable feedback.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Monitors progress to ensure performance goals are being met.
Ensures employees understand their performance expectations.
Sets long and short term goals.
Places employees on probation if they fail to meet minimum performance standards.
Is proactive in administering the rewards program.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to organize work.
...Overall Performance
Listens and responds to issues and problems
Sets a high standard for job performance.
Shown significant improvement in job performance.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies opportunities for progress and innovation.
Balances risks and costs with the rewards and probabilities of success when decisions.
Prioritizes various actions to be taken when solving a problem.
Uses appropriate techniques to solve problems.
Identifies problems and issues needing resolution.
Initiative	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Confronts problems immediately without supervisor instructions.
Begins immediate action on projects.
Does the right thing without being told.
Updates the documentation as soon as the situation changes.
Cleans the workspace without being told.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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
Demonstrates mastery of the technical competencies required in his/her work.
Seeks information from others as needed.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well
Finds opportunities to recognize others.
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Offers recognition in a timely manner.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the costs, profits, markets, and added value of issues.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Keeps informed of current income and expenses.
Anticipates marketplace opportunities and supports speed to market.
Maintains currency with laws, regulations, policies, procedures, trends, and developments.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures others follow the correct rules and regulations on fiscal matters.
Develops of the department's annual budget.
Effective in using Company's resources.
Monitors spending.
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.