Coaching - 360 Degree Feedback Survey Sample #12

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.

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

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

Coaching

• Conducts regular performance appraisals and feedback.
• Develops the skills and capabilities of others.
• Addresses employee behavior problems effectively.
• Helps employees to maintain high personal standards.
• 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

• Communicates effectively with employees.
• Maintains good working relationships with employees.
• Maintains a calm demeanor when addressing stressful issues in the workplace.
• Delegates effectively.
• Shows consistency between what they say and do.

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

Comments:

Time Management

• Does not become flustered by deadlines and timelines.
• Deals effectively with interruptions.
• Prioritizes new tasks according to their relative importance.
• Completes tasks ahead of schedule.
• Makes time for developing plans and schedules.

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

Comments:

Clarity

• Communicates ideas and facts clearly and effectively in writing.
• Is clear about the roles and duties of team members.
• Clarifies problems and their causes to help employees correct them.
• Seeks to reduce ambiguity in messaging and documents.
• Provides a clear vision for the future.

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

Comments:

Company

• Understands the "basics" as to how [Company] functions/operates.
• Impresses upon others the important aspects of [Company].
• Attends [Company] gatherings and social events.
• Expresses loyalty and dedication to [Company] in interactions with others.
• 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.