Coaching - 360 Degree Feedback Survey Sample #14





360 Feedback Survey

Questionnaires Measuring Coaching:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers)
Survey 14 (4-point scale; N/A)
Instructions

Our company is excited to introduce a new web-based survey tool designed to gather comprehensive feedback on core competencies and role responsibilities critical to the ongoing success of our organization. The Leadership Team Members have unanimously agreed to participate in this initiative and are actively seeking your valuable feedback.

In this context, you have been specifically selected to provide insights on the manager listed above. Your feedback is a crucial component of our company's leadership development process. This tool is intended to capture broad and detailed feedback on the essential competencies and responsibilities that underpin our organization's sustained success and growth.

Your thoughtful and candid responses will play a significant role in guiding the professional development of our leadership team. By reflecting on your experiences and interactions with the manager over the past six to twelve months, you will help us identify strengths, areas for improvement, and opportunities for growth. Your feedback will be combined with that of others and presented to the manager to support their ongoing development. Rest assured, your comments will be shared anonymously, ensuring your privacy while contributing to a culture of continuous improvement and excellence.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

Sample Result Document:
Sample Results
You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Coaching

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Develops the skills and capabilities of others.
  1. Helps employees to understand responsibilities, authority, and expectations.
  1. Helps employees to maintain high personal standards.
  1. Conducts regular performance appraisals and feedback.
  1. Provides clear, motivating, and constructive feedback.
  1. Coaches employees in how to strengthen knowledge and skills to improve work performance.
  1. Meets regularly with employees to coach them on areas that will enhance their performance
  1. Addresses employee behavior problems effectively.
If [Participant Name] were to make improvements in Coaching, what are your suggestions for how he/she can improve this?

Communication Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Presents issues, ideas, and strategy concisely and clearly.
  1. Visible and approachable; is there when you need them.
  1. Keeps the supervisor informed about achievements and milestones.
  1. Presents information in a clear and logical format.
  1. Summarizes or paraphrases the current question to confirm understanding.
  1. Adapts language and terminology to meet the needs of the audience.
If [Participant Name] were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?

Supervisory Skills

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Uses metrics and benchmarks established by the department.
  1. Recognizes when employees have completed major milestones.
  1. Resolves personnel problems quickly and effectively.
  1. Communicates the goals and expectations for the team.
  1. Communicates effectively to avoid issues, conflicts and errors on the job.
  1. Reviews performance against established measures.
If [Participant Name] were to make improvements in Supervisory Skills, what are your suggestions for how he/she can improve this?

Time Management

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Manages time effectively by focusing efforts on high value tasks.
  1. Acts promptly without delay.
  1. Manages work time and family life to bring both into balance.
  1. Allows for time buffers between tasks so that the schedule does not become delayed.
  1. Prioritizes tasks to identify immediate and long-term objectives.
  1. Ensures timely completion of critical assignments.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?

Clarity

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Is clear about goals that need to be achieved.
  1. Clearly explains the vision and goals of the company.
  1. Attends to the important details of a job or task.
  1. Checks details thoroughly.
  1. Clarifies problems and their causes to help employees correct them.
  1. Clearly explains responsibilities to individuals.
If [Participant Name] were to make improvements in Clarity, what are your suggestions for how he/she can improve this?

Recognition

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Readily shares credit and gives others opportunity for visibility.
  1. Says "thank you" to show appreciation for work of others.
  1. Offers recognition in a timely manner.
  1. Is sincerely interested in the suggestions of co-workers
  1. Recognizes the abilities and skills of self and others
  1. Recognizes individuals for a specific outstanding achievement.
If [Participant Name] were to make improvements in Recognition, what are your suggestions for how he/she can improve this?

Company

Needs
Improvement
Could Benefit
from
Development
Performs
as
Expected
Is a
Role Model
for Others
Don't
Know
  1. Understands the use of [Company] products and services.
  1. Understands the "basics" as to how [Company] functions/operates.
  1. Follows existing procedures and processes.
  1. Impresses upon others the important aspects of [Company].
  1. Expresses loyalty and dedication to [Company] in interactions with others.
  1. Attends [Company] gatherings and social events.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?



  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.