Coaching - 360 Degree Feedback Survey Sample #10





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)
Instructions

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.


Coaching

  • Provides clear, motivating, and constructive feedback.
  • 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.
  • Develops the skills and capabilities of others.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Self Management

  • Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  • Consciously controls own negative emotions in order to keep team morale up.
  • Does not allow own emotions to interfere with the performance of others.
  • Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  • Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
If [Participant Name] were to make improvements in Self Management, what are your suggestions for how he/she can improve this?

Change Management

  • Able to get department employees to accept new changes.
  • Assists others in understanding changes to the organization.
  • Inspires others to want to change.
  • Is an inspiration for others to accept the recent changes.
  • Works cooperatively with others to implement changes.
If [Participant Name] were to make improvements in Change Management, what are your suggestions for how he/she can improve this?

Responsible

  • Sets high personal standards of performance.
  • Behavior is ethical and honest.
  • Holds herself / himself accountable to goals / objectives
  • Responsible for setting the vision of the department.
  • Works in a way that makes others want to work with her/him.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Recognition

  • Is sincerely interested in the suggestions of co-workers
  • Offers recognition in a timely manner.
  • Compliments other people when they do good work
  • Finds opportunities to recognize others.
  • Recognizes team members who offer a significant contribution to a project.
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].






Strengths


Areas for Development


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