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
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Develops the skills and capabilities of others.
Provides clear, motivating, and constructive feedback.
Helps employees to maintain high personal standards.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is open to new ideas and concepts.
Builds on their strengths while addressing their weaknesses.
Pursues learning that will enhance job performance.
Views setbacks as opportunities to learn from.
Pursues self-improvement through continual learning.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Asks others for their ideas and opinions.
Looks to others for input.
Actively seeks feedback from others.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds others accountable for their actions.
Effectively leads others.
Guides decision-making by coaching, counseling and rewarding.
Takes ownership and accountability for results
Recognizes individual and team accomplishments and reward them appropriately.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Rewards individuals who show imagination in developing creative solutions to problems.
Sets performance expectations that are clear, specific and concise.
Monitors progress to ensure performance goals are being met.
Establishes indicators to measure levels of performance.
Is consistent in clearly communicating job requirements.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a high standard for job performance.
Effective in performing his/her job.
Listens and responds to issues and problems
Works well in this position.
Works effectively in the department.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks the "right" questions to size up or evaluate situations.
Identifies the root cause of a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Prioritizes various actions to be taken when solving a problem.
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
Takes advantage of opportunities when they become available.
Is a self-starter. Does not wait to be told to do something.
Seizes upon opportunities available.
Takes corrective action to rectify issues.
Independently seeks out new learning opportunities to improve their skills.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willingly shares information and expertise; sought out as resource by others
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Is knowledgeable of procedures or systems necessary for the job.
Knows how to produce high quality products/work.
Demonstrates mastery of the technical competencies required in his/her work.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes people around them feel appreciated and valued.
Lets employees know when they have done well
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.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Understands the costs, profits, markets, and added value of issues.
Converses with customers and clients to get a better insight into their business needs.
Provides a high level of business services to customers.
Anticipates marketplace opportunities and supports speed to market.
Understands the critical business needs of the customer.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Provides budgeting and accounting support to the Company.
Keeps excellent records for financial transparency.

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.