Coaching - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Coaching

• Conducts regular performance appraisals and feedback.
• Helps employees to maintain high personal standards.
• Helps employees to understand responsibilities, authority, and expectations.
• Meets regularly with employees to coach them on areas that will enhance their performance
• Addresses employee behavior problems effectively.

If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Self Management

• Consciously controls own negative emotions in order to keep team morale up.
• Steps away from a situation to process appropriate response.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Uses patience and self-control in working with customers and associates.
• Does not allow own emotions to interfere with the performance of others.

If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Change Management

• Inspires others to accept changes.
• Able to get team members to change their attitudes.
• Able to get department employees to accept new changes.
• Addresses organizational and departmental resistance to changes.
• Effective in dealing with ambiguous and challenging situations.

If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Responsible

• Sets a good example
• Holds herself / himself accountable to goals / objectives
• Works in a way that makes others want to work with her/him.
• Behavior is ethical and honest.
• Acts as a resource without removing individual responsibility.

If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Recognition

• Recognizes team members who offer a significant contribution to a project.
• Says "thank you" to show appreciation for work of others.
• Lets employees know when they have done well
• Compliments other people when they do good work
• Recognizes individuals for a specific outstanding achievement.

If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


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