Persuasion and Influence - 360 Degree Feedback Survey Sample #2





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

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 and the goals they were asked to achieve. 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 discussed with the employee to foster growth and on-going development.

Competencies Included:
Persuasion and Influence, Creativity, Problem Solving, Action, Change Management, Technology Use/Management, Excellence, Regulatory/Compliance, Trustworthy, Strategic Insight, Planning
Sample Result Document:
Sample Results
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.

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


Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Has excellent influencing/negotiating skills.
  1. Communicates effectively with others.
  1. Persuades others to consider alternative points of view.
  1. Seeks to obtain consensus or compromise.
What are your suggestions for how [Participant Name] can make improvements
in Persuasion and Influence?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Conceives, implements and evaluates ideas.
  1. Is creative.
  1. Is creative and inspirational.
  1. Inspires creativity in their team.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Problem Solving

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Actively seeks the root cause of a problem.
  1. Able to balance the needs of different people in a solution to a problem.
  1. Identifies fresh approaches and shows a willingness to question traditional assumptions.
  1. Generates alternative solutions to problems and challenges.
What are your suggestions for how [Participant Name] can make improvements
in Problem Solving?

Action

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Gets the job done.
  1. Converts plans into actions.
  1. Effectively handles multiple complex issues simultaneously.
  1. Seeks new opportunities for advancement.
What are your suggestions for how [Participant Name] can make improvements
in Action?

Change Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Inspires others to want to change.
  1. Able to get department employees to accept new changes.
  1. Is an inspiration for others to accept the recent changes.
  1. Adopts changes to set and example for others to follow.
What are your suggestions for how [Participant Name] can make improvements
in Change Management?

Technology Use/Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Uses technology in decision making and problem solving.
  1. Understands and is committed to implementing new technologies.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
What are your suggestions for how [Participant Name] can make improvements
in Technology Use/Management?

Excellence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Demonstrates the analytical skills to do their job.
  1. Can be counted on to add value wherever they are involved.
  1. Keeps themselves and others focused on constant improvement.
What are your suggestions for how [Participant Name] can make improvements
in Excellence?

Regulatory/Compliance

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Maintains compliance with federal, state, and local laws.
  1. Reviews skill levels of employees in areas of policies and regulations to identify gaps where additional training is needed.
  1. Interacts with auditors and regulators on a professional basis.
  1. Keeps informed of various regulations and procedures.
What are your suggestions for how [Participant Name] can make improvements
in Regulatory/Compliance?

Trustworthy

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Consistently keeps commitments.
  1. Demonstrates congruence between statements and actions.
  1. Takes care to maintain confidential information.
  1. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
What are your suggestions for how [Participant Name] can make improvements
in Trustworthy?

Strategic Insight

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Strategically aligns projects to the goals of the company.
  1. Maintains knowledge of current trends in the industry.
  1. Pursues strategic alliances with valued partners.
What are your suggestions for how [Participant Name] can make improvements
in Strategic Insight?

Planning

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Adjusts plans as needed according to situational/strategic changes.
  1. Determines staffing needs for the project/department.
  1. Sets the appropriate sequence of tasks to ensure completion of the project.
  1. Prioritizes tasks based on urgency/need.
What are your suggestions for how [Participant Name] can make improvements
in Planning?


  1. Strengths


  2. Areas for Development


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