Coaching- 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Coaching	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps others to identify key goals and use their talents to achieve success.
Asks questions to better understand the employees knowledge and assumptions.
Considers the ideas and suggestions from coaches.
Asks questions that lead to discovery, insight or action.
Offers coaching that has a maximum impact on the employee.
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
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Seeks opportunities for continuous learning.
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and 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
Inspires a shared vision of being the best.
Uses persuasion and influence instead of micromanaging employees.
Embeds feedback into the team's regular workflow, making it part of how the group improves together.
Leads team to set goals, solve problems, and accomplish tasks.
Clearly articulates expectations.
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
Prepares contingency plans to avoid supply chain disruptions.
Makes sure all team members understand their roles.
Creates the implementation strategy for the project.
Documents the risk assessments for different parts of the project.
Understands the budget constraints for 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
Always strives to produce the highest quality work products.
Verifies the operators have the necessary equipment and supplies to ensure high quality.
Encourages others to achieve high quality standards.
Effectively works with Quality Control (QC) engineers.
Creates a culture of excellence and high 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
Coordinates cross-functional efforts to ensure dependencies are addressed proactively.
Addresses underperformance promptly and constructively, focusing on solutions.
Promotes a solution-focused mindset when problems arise.
Highly motivated to complete tasks despite obstacles that may arise.
Sets objectives for the department.
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
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
Effectively organizes resources and plans
Organizes and schedules events, activities, and resources.
Consistently provides me with timely feedback for improving my performance.
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.
Consistently keeps commitments.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is a person you 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.