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.

Coaching

• Provides clear, motivating, and constructive feedback.
• Helps employees to maintain high personal standards.
• Addresses employee behavior problems effectively.
• Meets regularly with employees to coach them on areas that will enhance their performance
• Coaches employees in how to strengthen knowledge and skills to improve work performance.

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

Comments:

Supervisory Skills

• Decides what supplies need to be purchased.
• Is respectful toward employees.
• Assigns tasks appropriately.
• Meets with employees at the end of the job to debrief them.
• Successful in resolving personnel conflicts.

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

Comments:

Time Management

• Completes work on a timely basis.
• Prefers to utilize automated workflows.
• Delegates tasks to those with free time to do them.
• Avoids distractions in the workplace.
• Uses agendas when chairing or facilitating meetings.

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

Comments:

Clarity

• Clearly explains responsibilities to individuals.
• Adjusts communication methods to the needs of the audience.
• Communicates ideas and facts clearly and effectively in writing.
• Maintains clarity in goals and objectives.
• Communicates with clarity and efficiency.

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

Comments:

Company

• Follows existing procedures and processes.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Understands how decisions impact other business units beyond their immediate department of work group.
• Understands the use of [Company] products and services.
• Understands the "basics" as to how [Company] functions/operates.

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.