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 maintain high personal standards.
• Helps employees to understand responsibilities, authority, and expectations.
• Coaches employees in how to strengthen knowledge and skills to improve work performance.
• Meets regularly with employees to coach them on areas that will enhance their performance
• 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

• Consciously controls own negative emotions in order to keep team morale up.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Steps away from a situation to process appropriate response.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• 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

• Able to get team members to change their attitudes.
• Develops a strategy for implementing changes.
• Works cooperatively with others to implement changes.
• Assists others in understanding changes to the organization.
• Is a leading force driving 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
• Acts as a resource without removing individual responsibility.
• Completes assigned work tasks.
• Responsible for setting the vision of the department.
• ...takes personal responsibility for results.

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

Recognition

• Readily shares credit and gives others opportunity for visibility.
• Lets employees know when they have done well
• Compliments other people when they do good work
• Finds opportunities to recognize others.
• Reinforces and rewards employees for accomplishing necessary goals.

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.