Coaching - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

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.

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

• Helps employees to understand responsibilities, authority, and expectations.
• Addresses employee behavior problems effectively.
• Meets regularly with employees to coach them on areas that will enhance their performance
• Develops the skills and capabilities of others.
• Provides clear, motivating, and constructive feedback.

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

Self Management

• Analyzes interpersonal problems instead of reacting to them.
• 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.
• Consciously controls own negative emotions in order to keep team morale up.
• Steps away from a situation to process appropriate response.

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

Change Management

• Facilitates change with minimal resistance.
• Assists others in understanding changes to the organization.
• Able to get team members to change their attitudes.
• Addresses organizational and departmental resistance to changes.
• Develops plans for following through on the changes.

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

Responsible

• Completes assigned work tasks.
• Acts as a resource without removing individual responsibility.
• Responsible for setting the vision of the department.
• Behavior is ethical and honest.
• Sets high personal standards of performance.

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

Recognition

• Says "thank you" to show appreciation for work of others.
• Lets employees know when they have done well
• Finds opportunities to recognize others.
• Reinforces and rewards employees for accomplishing necessary goals.
• Offers recognition in a timely manner.

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.