Persuasion and Influence - 360 Degree Feedback Survey Sample #3





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 asked to evaluate yourself as part of a 360-degree feedback process. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Competencies Included:
Persuasion and Influence, Communication Skills, Delegation, Integrity, Punctuality, Goals, Safety, Responsible, Teamwork, Business Acumen, Strategic Focus
Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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






Persuasion and Influence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Has excellent influencing/negotiating skills.
  1. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
  1. Understanding what others need.
  1. Ensures stakeholders are involved in the decision making process.
Please feel free to provide any comments to help explain your answers?

Communication Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Communicates Corporate initiatives in a relevant and actionable manner to employees within his/her organization.
  1. Communicates crucial information to others.
  1. Sets their on-line status to "available" to indicate they are available for communication.
  1. Keeps the supervisor informed about achievements and milestones.
  1. Presents clear and persuasive information in reports.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Defines goals and objectives for subordinates.
  1. Tells subordinates what to do, not how to do it.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Allows employees to decide how they wish to complete the tasks.
  1. Entrusts subordinates with important tasks.
Please feel free to provide any comments to help explain your answers?

Integrity

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Protects the integrity and confidentiality of information
  1. Maintains strong relationships with others.
  1. Demonstrates honesty and truthfulness at all times.
  1. Develops trust and confidence from others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
Please feel free to provide any comments to help explain your answers?

Punctuality

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Arrives to meetings on time.
  1. Starts the workday when scheduled.
  1. Invoices clients on a timely basis.
  1. Avoids making personal phone calls during working hours.
  1. Maintains an efficient schedule of activities.
Please feel free to provide any comments to help explain your answers?

Goals

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Achieves established goals.
  1. Understands & contributes to development of strategic goals.
  1. Makes sure that I have a clear idea of our group's goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Establishes and documents goals and objectives.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Participates in safety training when offered.
  1. Ensures compliance with safety regulations.
  1. Seeks to reduce the likelihood of accidents.
  1. Develops a sustainable safety culture.
  1. Identifies and addresses safety needs.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Sets high personal standards of performance.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example
  1. Behavior is ethical and honest.
  1. Works in a way that makes others want to work with her/him.
Please feel free to provide any comments to help explain your answers?

Teamwork

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Promotes a team spirit within and outside department; partners with other groups.
  1. Willingly share their technical expertise
  1. Facilitates effective decision-making practices to further develop the team.
  1. Is committed to the success of the team.
  1. Shows respect for other team members.
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Views problems from a business perspective, opportunity, investment, risks, and anticipated results
  1. Knows how to use financial information to make an impact on the organization.
  1. Establishes clear, long-term objectives that align with the company's vision and mission.
  1. Understands the dynamics of our industry.
  1. Considers impact of actions on other areas of the organization.
Please feel free to provide any comments to help explain your answers?

Strategic Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Avoids complacency and strives to be ahead of changes in the business environment.
  1. Creates values statement to ensure all employees are working under the same guiding principles.
  1. Makes strategic changes to stay ahead of changes in the business environment.
  1. Maintains a strategic focus on external factors impacting the success of the company.
  1. Communicates the company's strategic goals and decisions to teams and departments.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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