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.
• Coaches employees in how to strengthen knowledge and skills to improve work performance.
• Addresses employee behavior problems effectively.
• Provides clear, motivating, and constructive feedback.
• Develops the skills and capabilities of others.

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

Comments:

Supervisory Skills

• Provides constructive, ongoing feedback.
• Encourages employees to achieve their full potential.
• Promotes teamwork and cooperation within the department.
• Treats all staff equitably.
• Resolves personnel problems quickly and effectively.

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

Comments:

Time Management

• Deals effectively with interruptions.
• Does not become flustered by deadlines and timelines.
• Sets a good balance between work and family life.
• Uses agendas when chairing or facilitating meetings.
• Completes high-priority work within required timelines.

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

Comments:

Clarity

• Avoids stating unclear or conflicting goals.
• Makes sure goals and objectives are clearly and thoroughly explained and understood.
• Clarifies problems and their causes to help employees correct them.
• Attends to the important details of a job or task.
• Maintains clarity in goals and objectives.

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.
• Attends [Company] gatherings and social events.
• Impresses upon others the important aspects of [Company].
• 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.