Coaching- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Coaching	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps employees to maintain high personal standards.
Meets regularly with employees to coach them on areas that will enhance their performance
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?
Professional Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
If [Participant Name] were to make improvements in Professional Development, what are your suggestions for how he/she can improve this?
Leadership	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Gives direct, constructive, and actionable feedback.
Holds others accountable for their actions.
Sets specific, measurable, and challenging goals.
Sits down regularly with employees to review their job performance.
Expresses clear goals and objectives.
If [Participant Name] were to make improvements in Leadership, what are your suggestions for how he/she can improve this?
Project Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Has detailed knowledge about the project and can adapt the project plan as needed.
Changes the implementation of specific phases of the project to mitigate certain risks.
Holds meetings with supply-chain vendors regarding acquisition of resources.
Coordinates timelines, events and tasks with various sub-groups within the project.
Interacts with stakeholders regarding the outcomes required by the project.
If [Participant Name] were to make improvements in Project Management, what are your suggestions for how he/she can improve this?
Quality	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Makes sure cleanliness standards are met to reduce the possibility of contamination.
Creates effective policies regarding quality of services and products.
Adopts, integrates, and disseminates quality guidelines and standards.
Leads the department in quality improvement initiatives.
Implements standardized and data driven quality processes/procedures.
If [Participant Name] were to make improvements in Quality, what are your suggestions for how he/she can improve this?
Results Oriented	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Provides clear expectations for employees.
Completes all assigned tasks.
Has a work ethic with a strong desire to obtain results.
Achieves long and short-term goals.
Creates measures of performance to track progress.
If [Participant Name] were to make improvements in Results Oriented, what are your suggestions for how he/she can improve this?
Objectives	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Establishes goals and objectives.
Organizes and schedules events, activities, and resources.
Assures [Company] principles are understood, employed & pursued.
Sets long-term and short-term goals.
Works toward achieving established goals and objectives.
If [Participant Name] were to make improvements in Objectives, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Consistently keeps commitments.
Delivers on promises made.
Demonstrates congruence between statements and actions.
Is trustworthy; is someone I can trust.
Demonstrates a sense of responsibility and commitment to public trust.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for [Participant Name Here]'s assessment.