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
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Meets regularly with employees to coach them on areas that will enhance their 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
Quickly acquire and apply new knowledge and skills when needed
Seeks opportunities for professional development.
Allows employees to fully participate in employee training and professional development.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
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
Demonstrates leadership and courage in critical situations.
Gives inspiring presentations or discussions.
Able to influence others.
Sets clear goals and objectives for subordinates.
Holds others accountable for their actions.
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
Keeps stakeholders informed of progress on the project.
Interacts with stakeholders regarding the outcomes required by the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
Investigates potential risks of different courses of action.
Schedules project phases and tasks to facilitate successful completion of 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
Promotes an environment that fosters quality and safety.
Engages and leads staff in implementation of new quality procedures.
Develops a quality manual to assist in troubleshooting issues and documenting the quality management system.
Develops measures of the success of quality initiatives.
Is a role model for quality practices and standards.
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
Determined to complete tasks regardless of obstacles that may occur.
Sets the objectives for the team.
Has a positive attitude that encourages others to continue supporting the production goals.
Has a work ethic with a strong desire to obtain results.
Focuses on achieving important goals.
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
Encourages me to take on greater responsibility.
Able to organize work.
Communicates goals and objectives to employees.
Effectively organizes resources and plans
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
Demonstrates a sense of responsibility and commitment to public trust.
Takes care to maintain confidential information.
Communicates an understanding of the other person's interests, needs and concerns.
Is a person you can trust.
Works in a way that makes others want to work with her/him.
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.