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
Helps employees to understand responsibilities, authority, and expectations.
Provides clear, motivating, and constructive feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Helps employees to maintain high personal standards.
Develops the skills and capabilities of others.
Continual Learning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes charge of their training and skills enhancement.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
Seeks opportunities to grow in skills and knowledge.
Takes the initiative to learn new skills.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Considers other's opinion and suggestions.
Accepts the views of others.
Open to the suggestions of others.
Is easy to approach with ideas and opinions.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets clear goals and objectives for subordinates.
Sets specific, measurable, and challenging goals.
Able to align manpower, design work, an allocate tasks to achieve goals.
Motivates and challenges employees to attain a shared vision.
Highly effective supervisor.
Managing Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Initiates probationary actions for employees with sub-par performance.
Creates several measures of success for each goal.
Monitors performance on a regular basis.
Sets performance expectations that are clear, specific and concise.
Holds the team accountable for meeting objectives.
Performance	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to organize work.
...Overall Performance
...Produce Quality
Listens and responds to issues and problems
Works well in this position.
Analytical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Identifies the root cause of a problem.
Selects the appropriate techniques for analysis.
Identifies opportunities for progress and innovation.
Asks the "right" questions to size up or evaluate situations.
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
Helps the department take the initiative to create new solutions.
Initiates projects that have an impact on the department.
Takes action without being asked.
Anticipates what needs to be done and makes necessary preparations.
Addresses small problems before they become big ones.
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks information from others as needed.
Knows how to produce high quality products/work.
Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
Demonstrates mastery of the technical competencies required in his/her work.
Is knowledgeable of procedures or systems necessary for the job.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Says "thank you" to show appreciation for work of others.
Recognizes the abilities and skills of self and others
Finds opportunities to recognize others.
Recognizes individuals for a specific outstanding achievement.
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
Gathers essential customer data to align our products with their expectations.
Understands and applies business and financial principles.
Can effectively interpret and analyze market data.
Understands financial terminology, statements.
Understands cash flow procedures and statements.
Fiscal Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Provides budgeting and accounting support to the Company.

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.