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
Conducts regular performance appraisals and feedback.
Meets regularly with employees to coach them on areas that will enhance their performance
Addresses employee behavior problems effectively.
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
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
Seeks opportunities for professional development.
Keep themselves up-to-date of technical/professional issues
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Contributing fully to the extent of their skills
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
Sets a high level of performance expectations and challenges others to do the same.
Demonstrates leadership and courage in critical situations.
Sets clear goals and objectives for subordinates.
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.
Able to align manpower, design work, an allocate tasks to achieve goals.
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
Maintains costs and expenses within budget limits.
Organizes work and sets priorities as needed.
Able to adjust project schedule as needed to accommodate unforeseen issues.
Defines project outcomes based on customer requirements.
Organizes, plans, and directs resources to accomplish the goals and objectives.
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
Encourages employees to produce the best quality products.
Holds employees accountable for their quality of work.
Always strives to produce the highest quality work products.
Encourages others to achieve high quality standards.
Analyze what occurred and re-adjusts accordingly when goals are not met.
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
Stays focused on meeting the needs of customers.
Helps others when free-time is available.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Inspires and motivates co-workers to be productive and energetic at work
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
Ability to establish realistic goals.
Establishes goals and objectives.
Encourages me to take on greater responsibility.
Able to organize work.
Sets long-term and short-term goals.
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
Communicates an understanding of the other person's interests, needs and concerns.
Is trustworthy; is someone I can trust.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
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.