Coaching - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Questionnaires Measuring Coaching:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.


Definite Strength Meets Standards Needs Development N/A
  1. Provides clear, motivating, and constructive feedback.
  1. Conducts regular performance appraisals and feedback.
  1. Helps employees to maintain high personal standards.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Meets regularly with employees to coach them on areas that will enhance their performance


Definite Strength Meets Standards Needs Development N/A
  1. Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
  1. Is flexible and open minded in dealing with others.
  1. Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
  1. Learns from personal experiences and/or mistakes.
  1. Develops insights and applies innovative solutions to projects and problems.

Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Constantly enhances product knowledge through experimentation and play.
  1. Actively seeks to learn by asking questions and listening to all store associates.
  1. Is motivated by the desire to be "the best".
  1. Holds self and associates accountable for goal achievement.
  1. Critiques own performance and learns from experience as a source of continuous improvement.


Definite Strength Meets Standards Needs Development N/A
  1. Arrives to meetings on time.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
  1. Invoices clients on a timely basis.
  1. Starts meetings on time.

Problem Solving

Definite Strength Meets Standards Needs Development N/A
  1. Is a good problem solver and decision maker
  1. Works cooperatively with others to solve problems.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Ability to develop innovative solutions to problems.
  1. Effective in solving problems.


Definite Strength Meets Standards Needs Development N/A
  1. Develops a culture of safety.
  1. Supports our company's safety programs.
  1. Identifies predictable hazards in the workplace.
  1. Keeps accurate safety records.
  1. Supports safety programs and procedures.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Creates opportunities for professional development.
  1. Creates a work environment that fosters positive feedback to employees.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Tries to ensure employees are ready to move to the next level.
  1. Is open to receiving feedback.

Business Acumen

Definite Strength Meets Standards Needs Development N/A
  1. Applies the knowledge of work processes to influence the achievement of business goals
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Asks the 'right' questions to size up or evaluate situations.
  1. Able to align resources to meet the business needs of the company.
  1. Exhibits behavior that is consistent with the vision, mission, and core values of the organization

Fiscal Management

Definite Strength Meets Standards Needs Development N/A
  1. Effective in using Company's resources.
  1. Develops of the department's annual budget.
  1. Monitors expenses and verifies the need for items purchased.
  1. Keeps excellent records for financial transparency.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.

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

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.