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

• Conducts regular performance appraisals and feedback.
• Helps employees to maintain high personal standards.
• Provides clear, motivating, and constructive feedback.
• Coaches employees in how to strengthen knowledge and skills to improve work 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

• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Analyzes interpersonal problems instead of reacting to them.
• Uses patience and self-control in working with customers and associates.
• 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.

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.
• Addresses organizational and departmental resistance to changes.
• Supports the Company's efforts to implement changes.
• Is a leading force driving changes.
• Able to get department employees to accept new changes.

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

Responsible

• Acts as a resource without removing individual responsibility.
• Completes assigned work tasks.
• Responsible for setting the vision of the department.
• Behavior is ethical and honest.
• Holds herself / himself accountable to goals / objectives

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.
• Offers recognition in a timely manner.
• Readily shares credit and gives others opportunity for visibility.
• Recognizes individuals for a specific outstanding achievement.
• 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].

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.