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.

Edit this Survey

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Coaching

• Helps employees to understand responsibilities, authority, and expectations.
• Addresses employee behavior problems effectively.
• Develops the skills and capabilities of others.
• Provides clear, motivating, and constructive feedback.
• Meets regularly with employees to coach them on areas that will enhance their performance

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

Comments:

Supervisory Skills

• Implements disciplinary policy in accordance with the union contract
• Fosters a culture of personal responsibility and accountability.
• Has a strong work ethic that inspires others.
• Assigns tasks appropriately.
• Is a calming force during stressful periods.

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

Comments:

Time Management

• Delegates as many repetitive tasks as possible to maximize the amount of work being done.
• Does not become flustered by deadlines and timelines.
• Allocates time to the highest priority items.
• Sets target due dates or times for tasks to be completed by.
• Prioritizes new tasks according to their relative importance.

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

Comments:

Clarity

• Communicates with clarity and efficiency.
• Makes sure goals and objectives are clearly and thoroughly explained and understood.
• Checks details thoroughly.
• Clarifies problems and their causes to help employees correct them.
• Makes sure employees understand why they were given certain assignments.

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

Comments:

Company

• Expresses loyalty and dedication to [Company] in interactions with others.
• Attends [Company] gatherings and social events.
• Follows existing procedures and processes.
• Understands how decisions impact other business units beyond their immediate department of work group.
• 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.