Coaching - 360 Degree Feedback Survey Sample #11

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)

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.


What does Coaching mean?
It means that ...
  • You develop the skills and capabilities of others.
  • You address employee behavior problems effectively.
  • You help employees to understand responsibilities, authority, and expectations.
  • You meet regularly with employees to coach them on areas that will enhance your performance
  • You conduct regular performance appraisals and feedback.

To what extent does this person exhibit Coaching?
Select from one of the ratings below.

Administrative Skill

What does Administrative Skill mean?
It means that ...
  • You are able to develop, justify and present a budget.
  • You complete reports on-time.
  • You have strong technical/computer skills.
  • You have a high attention to detail.
  • You have strong organizational skills to keep the workspace and department in order

To what extent does this person exhibit Administrative Skill?
Select from one of the ratings below.


What does Feedback mean?
It means that ...
  • You share past experiences with others as learning opportunities.
  • You look to others for input.
  • You actively seek feedback from others.
  • You consider other's opinion and suggestions.
  • You are open to the suggestions of others.

To what extent does this person exhibit Feedback?
Select from one of the ratings below.


What does Objectives mean?
It means that ...
  • You encourage others to take on greater responsibility.
  • You effectively organize resources and plans
  • You set long-term and short-term goals.
  • You work toward achieving established goals and objectives.
  • You communicate goals and objectives to employees.

To what extent does this person exhibit Objectives?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You volunteer for experiences and assignments abroad.
  • You cooperate with others on a global scale.
  • You accept setbacks and challenges in foreign markets as improvement opportunities
  • You facilitate open communication with individuals from other countries.
  • You form strong client relationships with international partners.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.

Areas for Development

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