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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.
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Persuasion and Influence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Understanding what others need.
  1. Seeks to obtain consensus or compromise.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
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. Develops solutions to challenging problems.
  1. Adds value to the department/organization.
  1. Is creative and inspirational.
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. Is a versatile problem-solver with a wide range of tools and techniques at their disposal to apply them appropriately to different situations.
  1. Fosters a willingness to experiment and try new things, even if there's a risk of failure.
  1. Establishes the sequence of tasks, taking into account dependencies.
  1. Involves team members in discussions and planning to gain their endorsement before rolling out a new solution.
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. Takes advantage of changes to the current situation.
  1. Fixes problems when they occur.
  1. Anticipates critical incidents in the department and takes steps to mitigate their effect.
  1. Completes challenging projects successfully despite setbacks.
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. Develops a strategy for implementing changes.
  1. Is an inspiration for others to accept the recent changes.
  1. Supports the Company's efforts to implement changes.
  1. Addresses organizational and departmental resistance to changes.
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. 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.
  1. Adopts the implementation of new technology into the workplace.
  1. Uses technology in decision making and problem solving.
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. Takes a lot of pride in their work.
  1. Produces high quality work.
  1. Can be counted on to add value wherever they are involved.
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. Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
  1. Prepares and presents annual reports as required.
  1. Effectively communicates the importance of meeting compliance standards.
  1. Documents the performance of compliance audits.
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. Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
  1. Communicates an understanding of the other person's interests, needs and concerns.
  1. Demonstrates congruence between statements and actions.
  1. Is trustworthy; is someone I can trust.
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. Recognizes the needs of customers.
  1. Lets employees know how their roles contribute toward the achievement of strategic company objectives.
  1. Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
  1. Develops a strategic vision for the future.
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. Assesses the risks of various strategic plans.
  1. Divides complex tasks into smaller steps to measure progress toward a goal.
  1. Develops plans to ensure the smooth operation of the supply chain.
  1. Able to balance the needs of multiple stakeholders in developing the plan for the division.
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.