Coaching- 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Coaching	Agree	Unsure	Disagree	N/A
Provides clear, motivating, and constructive feedback.
Develops the skills and capabilities of others.
Helps employees to maintain high personal standards.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Addresses employee behavior problems effectively.
Adaptability	Agree	Unsure	Disagree	N/A
Develops insights and applies innovative solutions to projects and problems.
Recognizes and implements changes to enhance efficiency and effectiveness.
Adjusts priorities to changing business goals.
Learns from personal experiences and/or mistakes.
Able to quickly learn new ways of performing their job.
Action	Agree	Unsure	Disagree	N/A
Takes advantage of changes to the current situation.
Takes corrective action when necessary.
Motivates & supports others to gain skills
Takes action when opportunities arise.
Assigns tasks to individuals who are most able to perform them.
Continual Learning	Agree	Unsure	Disagree	N/A
Pursues self-improvement through continual learning.
Pursues learning that will enhance job performance.
Shares best practices with others and learns from others.
Takes the initiative to learn new skills.
Improves on their skill sets.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Fosters a diverse workforce free from discrimination and harassment.
Avoids referring to stereotypes about others from different cultures.
Is open and honest in communications with individuals from other cultures.
Is aware of differences in how individuals from other cultures greet one another.
Values the opinions of diverse groups and individual.
Persuasion and Influence	Agree	Unsure	Disagree	N/A
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Understanding what others need.
Has excellent influencing/negotiating skills.
Delegation	Agree	Unsure	Disagree	N/A
Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
Assigns tasks to create learning opportunities for the employees.
Allows employees to decide how they wish to complete the tasks.
Clearly defines duties and tasks to be completed.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Innovation	Agree	Unsure	Disagree	N/A
Builds upon the ideas and solutions of others.
Offers constructive improvements to existing systems.
Creates a safe environment for idea-sharing.
Fosters a creative and innovative work environment.
Searches for opportunities and innovative ways to improve the organization.
Results Oriented	Agree	Unsure	Disagree	N/A
Holds self and others accountable for achieving results.
Creates measures of performance to track progress.
Stays focused on solving problems and getting work done.
Helps others when free-time is available.
Strives to exceed performance benchmarks.
Regulatory/Compliance	Agree	Unsure	Disagree	N/A
Responds promptly to inquiries from regulatory bodies.
Creates documents and reports as needed to maintain compliance with regulations.
Reviews transactions for potential misconduct.
Reviews the compliance program and recommends changes based on new industry trends.
Is professional and courteous in interactions with auditors and regulators.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.