Persuasion and Influence - 360 Degree Feedback Survey Sample #1

Instructions:

The is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Persuasion and Influence	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Understanding what others need.
If were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Communication Skills	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Is an effective communicator
Chooses the communication medium (ie. email, voice mail, memo, project document) that reflects the needs of the content. (ie. urgency, confidentiality, content scope)
Communications with department leadership
Communicates effectively with colleagues and customers
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
If were to make improvements in Communication Skills, what are your suggestions for how he/she can improve this?
Integrity	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Fosters an environment built upon trust.
Does what was promised.
Accepts responsibility for mistakes.
Develops trust and confidence from others.
Maintains strong relationships with others.
If were to make improvements in Integrity, what are your suggestions for how he/she can improve this?
Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Makes you feel enthusiastic about your work
Takes responsibility for things that go wrong
Sets an example for others to follow
Delegate tasks effectively
Keep staff informed about what is happening in the company
If were to make improvements in Management, what are your suggestions for how he/she can improve this?
Project Management	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Defines project outcomes based on customer requirements.
Responds quickly and appropriately to unforeseen problems.
Works with customers and clients to assess their needs and define project parameters.
Develops performance measures for various aspects of the project.
Anticipates potential problems and institutes controls and contingency plans to address them.
If were to make improvements in Project Management, what are your suggestions for how he/she can improve this?
Decision Making	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Seeks input from key people who should be involved in, or will be affected by, decisions
Exercises good judgment by making sound and informed decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Is able to make decisions quickly.
If were to make improvements in Decision Making, what are your suggestions for how he/she can improve this?
Commitment To Result	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Coordinates all department activities into a cohesive team effort.
Maintains persistence and dedication to achieving results.
Committed to the team.
Able to focus on a task even when working alone.
Encourages commitment in others to obtain results.
If were to make improvements in Commitment To Result, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Sets a good example.
Behavior is ethical and honest.
...takes personal responsibility for results.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
If were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Partnering/Networking	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Creates the conditions for partnerships to grow and develop.
Supports a partnering/networking culture.
Seeks an understanding of diverse functions within the Company.
Collaborates with others to accomplish goals and objectives.
Forges mutually beneficial relationships between individuals with diverse backgrounds.
If were to make improvements in Partnering/Networking, what are your suggestions for how he/she can improve this?
Others	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Treats others with respect and dignity.
Works across boundaries within the organization.
Forms working relationships with employees from other departments.
Respects the opinions of other employees.
Supports the efforts of other employees in implementing solutions to problems.
If were to make improvements in Others, what are your suggestions for how he/she can improve this?
Organizational Fluency	Needs Improvement	Meets Minimum Standards	Is Proficient	Role Model
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Anticipates problems that may affect the department.
Able to use corporate politics to advance department objectives.
Gets things done through the department.
If were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.