Coaching - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

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Coaching

• Is open and receptive to coaching.
• Helps employees to view challenges as opportunities for personal and professional development.
• Gives the employee time and space to respond to questions asked.
• Encourages employees to shift their perspective by asking questions like, "What opportunities could arise from solving this issue?" or "What could you learn from tackling this challenge?"
• Demonstrates that challenges are temporary and often lead to growth.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Supervisory Skills

• Communicates equally well with all employees.
• Introduces targeted training and development initiatives to address and elevate subpar performance.
• Successfully mediates conflicts between employees.
• Listens to others.
• Makes sure employees are accomplishing important objectives.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Time Management

• Understands the importance of being on time.
• Uses automation when possible to save time.
• Tackles major tasks or problems first before addressing minor issues.
• Remains dedicated to completing high priority work.
• Rarely misses deadlines; often producing results before expected.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Clarity

• Clearly explains the vision and goals of the company.
• Adjusts communication methods to the needs of the audience.
• Avoids stating unclear or conflicting goals.
• Makes sure goals and objectives are clearly and thoroughly explained and understood.
• Provides a clear vision for the future.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Company

• Helps employees understand how their work contributes to broader organizational success.
• Communicates with employees about the changes that are going to take place.
• Makes sure employees are aware of the company's financial situation.
• Creates a strong sense of camaraderie among colleagues.
• Understands how decisions impact other business units beyond their immediate department of work group.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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