Persuasion and Influence - 360 Degree Feedback Survey Sample #2

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.

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 and . The survey will only be available during these dates.

Persuasion and Influence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates effectively with others.
Ensures stakeholders are involved in the decision making process.
Seeks to obtain consensus or compromise.
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
What are your suggestions for how can make improvements in Persuasion and Influence?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Adds value to the department/organization.
Inspires creativity in their team.
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Is creative.
What are your suggestions for how can make improvements in Creativity?
Problem Solving	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ability to solve problems at root cause rather than at symptom level.
Identifies and assesses all potential responses to a problem.
Works cooperatively with others to solve problems.
Ability to develop innovative solutions to problems.
Is a good problem solver and decision maker
What are your suggestions for how can make improvements in Problem Solving?
Action	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Gets the job done.
Is not afraid to take corrective action when necessary.
Makes effective decisions, even when under pressure.
Effectively makes decisions
Drives and mobilizes others progress toward goals.
What are your suggestions for how can make improvements in Action?
Change Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Addresses organizational and departmental resistance to changes.
Adopts changes to set and example for others to follow.
Effective in implementing new organizational vision and values.
Assists others in understanding changes to the organization.
Supports new initiatives for organizational changes to improve effectiveness.
What are your suggestions for how can make improvements in Change Management?
Technology Use/Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Proficient in the use of technical systems and processes.
Understands and is committed to implementing new technologies.
Applies complex rules and regulations to maintain optimal system performance.
Supports employee training and development initiatives regarding implementation of technology.
What are your suggestions for how can make improvements in Technology Use/Management?
Excellence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Takes a lot of pride in their work.
Is planful and organized.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
What are your suggestions for how can make improvements in Excellence?
Regulatory/Compliance	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Follows all safety regulations and procedures.
Understands and adheres to internal and external regulations.
Maintains a state of readiness to address new and changing regulations and procedures.
Keeps informed of various regulations and procedures.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
What are your suggestions for how can make improvements in Regulatory/Compliance?
Trustworthy	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Consistently keeps commitments.
Is a person you can trust.
Communicates an understanding of the other person's interests, needs and concerns.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Works in a way that makes others want to work with her/him.
What are your suggestions for how can make improvements in Trustworthy?
Strategic Insight	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Analyzes records and reports to obtain insight into potential issues and trends.
Communicates vision for the department and company.
Formulates policies and strategies for addressing the Company's important challenges.
Maintains knowledge of current trends in the industry.
Identifies root causes of problems.
What are your suggestions for how can make improvements in Strategic Insight?
Planning	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Works in an organized manner
Makes plans and follows through.
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Delegates role to team members to accomplish goals.
What are your suggestions for how can make improvements in Planning?

56. Strengths
    
    
    
57. Areas for Development
    
    
    
58. Please give any final comments or suggestions for 's assessment.