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.

Sample Result Document:
Sample Results
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. Helps employees to maintain high personal standards.
  1. Develops the skills and capabilities of others.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Conducts regular performance appraisals and feedback.
  1. Helps employees to understand responsibilities, authority, and expectations.


Definite Strength Meets Standards Needs Development N/A
  1. Able to adjust to changes as needed.
  1. Able to adjust to changing environments.
  1. Can take on new assignments.
  1. Adjusts plans as needed based on changing conditions.
  1. Is aware of changes to team personnel.

Passion To Learn

Definite Strength Meets Standards Needs Development N/A
  1. Is open to feedback from others.
  1. Takes advantage of training opportunities when they arise.
  1. Exhibits willingness to upgrade skills through additional training and education.
  1. Creates an environment that supports personal development and exploration.
  1. Demonstrates a willingness to participate in continuing education courses.


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

Problem Solving

Definite Strength Meets Standards Needs Development N/A
  1. Ability to develop innovative solutions to problems.
  1. Implements effective solutions to critical problems.
  1. Understands the root causes of problems.
  1. Ability to solve problems at root cause rather than at symptom level.
  1. Able to balance the needs of different people in a solution to a problem.


Definite Strength Meets Standards Needs Development N/A
  1. Commits adequate resources toward safety measures.
  1. Points out behaviors in others that may be unsafe.
  1. Identifies predictable hazards in the workplace.
  1. Ensures compliance with safety regulations.
  1. Ensures that all supervisors are aware of regulatory and compliance measures.

Developing Others

Definite Strength Meets Standards Needs Development N/A
  1. Creates opportunities for professional development.
  1. Provides constructive feedback to others.
  1. Assigns tasks and responsibilities to develop skills of others.
  1. Assesses employees' developmental needs.
  1. Encourages employees through recognition of positive changes in behavior.

Business Acumen

Definite Strength Meets Standards Needs Development N/A
  1. Has an understanding of various asset classes and how to interpret balance sheets.
  1. Can effectively interpret and analyze market data.
  1. Able to align resources to meet the business needs of the company.
  1. Knows how to use financial information to make an impact on the organization.
  1. Understands consumer behaviors and how they may change in the future.

Fiscal Management

Definite Strength Meets Standards Needs Development N/A
  1. Monitors spending.
  1. Effective in using Company's resources.
  1. Provides budgeting and accounting support to the Company.
  1. Monitors expenses and verifies the need for items purchased.
  1. Ensures others follow the correct rules and regulations on fiscal matters.

  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.