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

• Helps employees to understand responsibilities, authority, and expectations.
• Conducts regular performance appraisals and feedback.
• Addresses employee behavior problems effectively.
• Coaches employees in how to strengthen knowledge and skills to improve work performance.
• 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

• Listens to the concerns of employees.
• Maintains good working relationships with employees.
• Schedules follow up meetings if employee's performance is below average.
• Empowers employees to make their own decisions in the field.
• Is clear about the expectations that employees will be held accountable for.

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

Comments:

Time Management

• Focuses time on the important tasks that add significant value.
• Provides accurate estimates for the amount of time needed to accomplish certain tasks.
• Sets time limits on how much time is spent on particular tasks so that one task does not dominate the schedule.
• Uses agendas when chairing or facilitating meetings.
• Sets clearly defined goals.

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

Comments:

Clarity

• Clarifies problems and their causes to help employees correct them.
• Maintains clarity in goals and objectives.
• Provides a clear vision for the future.
• Clearly explains the vision and goals of the company.
• Adjusts communication methods to the needs of the audience.

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.
• Follows existing procedures and processes.
• Understands how decisions impact other business units beyond their immediate department of work group.
• Expresses loyalty and dedication to [Company] in interactions with others.
• Impresses upon others the important aspects of [Company].

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.