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.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Pursues learning that will enhance job performance.
Is open to new ideas and concepts.
Takes charge of their training and skills enhancement.
Sets relevant learning objectives and goals.
Pursues professional development opportunities when they arise.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks feedback to enhance performance.
Is visible and approachable.
Considers other's opinion and suggestions.
Looks to others for input.
Shares past experiences with others as learning opportunities.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Clearly explains performance expectations and goals to be reached at the beginning of a project, then let's others decide how to achieve the goal.
Demonstrates leadership and courage in critical situations.
Able to influence others.
Takes ownership and accountability for results
Effectively leads others.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets specific and measurable goals for others and follows through to completion.
Provides employees with necessary resources to accomplish their goals.
Makes sure commitments are understood and met.
Obtains commitment from employees regarding completion of tasks.
Examines the most effective ways for accomplishing goals.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
...Overall Performance
Works effectively in the department.
Effective in performing his/her job.
Works well in this position.
Has great overall performance
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Prioritizes various actions to be taken when solving a problem.
Asks the "right" questions to size up or evaluate situations.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies problems and issues needing resolution.
Identifies opportunities for progress and innovation.
Initiative	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Goes above and beyond the stated goals.
Prepares for unexpected contingencies.
Takes the initiative to change the direction or course of events.
Immediately works to complete goals well before their deadline.
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 information and expertise; sought out as resource by others
Seeks information from others as needed.
Knows how to produce high quality products/work.
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.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Lets employees know when they have done well
Recognizes team members who offer a significant contribution to a project.
Makes people around them feel appreciated and valued.
Says "thank you" to show appreciation for work of others.
Readily shares credit and gives others opportunity for visibility.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Asks the 'right' questions to size up or evaluate situations.
Understands complex issues and problems.
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Considers impact of actions on other areas of the organization.
Able to align resources to meet the business needs of the company.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Effective in using Company's resources.
Keeps excellent records for financial transparency.
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.