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 .

Coaching	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Conducts regular performance appraisals and feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Helps employees to understand responsibilities, authority, and expectations.
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
Quickly acquire and apply new knowledge and skills when needed
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
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
Recognizes individual and team accomplishments and reward them appropriately.
Guides decision-making by coaching, counseling and rewarding.
Gives inspiring presentations or discussions.
Sets clear goals and objectives for subordinates.
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
Assesses the ability of the organization to handle the project.
Monitors timelines and milestones to ensure set benchmarks are met.
Documents the sequence of steps needed to complete the project.
Regularly reviews project performance and goals.
Accurately determines the number of engineers required 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
Corrects issues in a timely manner.
Assesses strengths and weaknesses of various quality initiatives.
Verifies the correct materials were used in the installation.
Reflects on what is working and what could be improved.
Develops and maintains quality control checklists for the manufacturing department.
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
Sets priorities for tasks to be completed.
Strives to exceed performance benchmarks.
Concentrates efforts on the most urgent needs.
Recognizes the problem that needs to be solved.
Has a work ethic with a strong desire to obtain results.
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
Consistently provides me with timely feedback for improving my performance.
Organizes and schedules events, activities, and resources.
Effectively organizes resources and plans
Establishes goals and objectives.
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
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.
Demonstrates a sense of responsibility and commitment to public trust.
Is a person you can 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.