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Persuasion and Influence - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Persuasion and Influence:
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)
Instructions:

[Company] 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.

Competencies Included:
Persuasion and Influence, Communication Skills, Integrity, Management, Project Management, Decision Making, Commitment To Result, Responsible, Partnering/Networking, Others, Organizational Fluency
Sample Result Document:
Sample Results
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 . 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
  1. Understanding what others need.
  1. Able to express own goals and needs.
  1. Communicates effectively with others.
  1. Seeks to obtain consensus or compromise.
  1. Attempts to persuade others rather than simply control them.
If [Participant Name] 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
  1. Communicates effectively with colleagues and customers
  1. Addresses issues of key importance to stakeholders.
  1. Is an effective communicator
  1. Communicates effectively with all levels of the organization.
  1. Coaches others and provides feedback on the use of different oral communication styles for different audiences
If [Participant Name] 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
  1. Follows tasks to completion.
  1. Fosters an environment built upon trust.
  1. Demonstrates sincerity in actions with others.
  1. Accepts responsibility for mistakes.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
If [Participant Name] 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
  1. Sets an example for others to follow
  1. Takes responsibility for things that go wrong
  1. Delegate tasks effectively
  1. Keep staff informed about what is happening in the company
  1. Makes you feel enthusiastic about your work
If [Participant Name] 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
  1. Develops performance measures for various aspects of the project.
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Maintains costs and expenses within budget limits.
  1. Inspires others to accomplish goals and objectives.
  1. Organizes work and sets priorities as needed.
If [Participant Name] 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
  1. Identifies parameters impacting the decision.
  1. Applies creative reasoning in making decisions.
  1. Outlines the parameters influencing the decision making process.
  1. Views the issues from multiple perspectives before making a decision.
  1. Makes creative decisions.
If [Participant Name] 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
  1. Takes immediate action toward goals.
  1. Committed to the team.
  1. Coordinates all department activities into a cohesive team effort.
  1. Able to focus on a task even when working alone.
  1. Encourages commitment in others to obtain results.
If [Participant Name] 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
  1. Completes assigned work tasks.
  1. Holds herself / himself accountable to goals / objectives
  1. Responsible for setting the vision of the department.
  1. Is a person you can trust.
  1. Sets a good example
If [Participant Name] 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
  1. Creates the conditions for partnerships to grow and develop.
  1. Supports a partnering/networking culture.
  1. Partners with peers to obtain influence within the Company.
  1. Promotes the understanding of how the department affects the organization overall.
  1. Capitalizes on partnerships and networks to enhance the Company's bottom line.
If [Participant Name] 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
  1. Is able to see issues from others' perspectives.
  1. Works effectively with people from other departments.
  1. Treats others with respect and dignity.
  1. Able to see issues from others' perspectives.
  1. Respects the opinions of other employees.
If [Participant Name] 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
  1. Effective in communicating with others within the organization.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to use corporate politics to advance department objectives.
  1. Understands the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
If [Participant Name] were to make improvements in Organizational Fluency, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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