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

• Addresses employee behavior problems effectively.
• Provides clear, motivating, and constructive feedback.
• Develops the skills and capabilities of others.
• Helps employees to maintain high personal standards.
• Helps employees to understand responsibilities, authority, and expectations.

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.
• Analyzes interpersonal problems instead of reacting to them.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Uses patience and self-control in working with customers and associates.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.

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

Change Management

• Effective in dealing with ambiguous and challenging situations.
• Assists others in understanding changes to the organization.
• Effective in implementing new organizational vision and values.
• Addresses organizational and departmental resistance to 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 a good example
• Sets a good example.
• Holds herself / himself accountable to goals / objectives
• Completes assigned work tasks.
• 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 individuals for a specific outstanding achievement.
• Says "thank you" to show appreciation for work of others.
• Readily shares credit and gives others opportunity for visibility.
• Makes people around them feel appreciated and valued.
• Finds opportunities to recognize others.

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.