Persuasion and Influence - 360 Degree Feedback Survey Sample #3

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.

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 a great company.

Please ensure that your submission is made between and . 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
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Understanding what others need.
Develops a good rapport with others.
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
Communications with department leadership
Communicates effectively with colleagues and customers
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Addresses issues of key importance to stakeholders.
Deals with difficult situations calmly and confidently.
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
Allows subordinates to use their own methods and procedures.
Sets clear and reasonable expectations for others and follows through on their progress.
Defines the roles, responsibilities, required actions, and deadlines for team members.
Delegates authority and responsibility to subordinates and holds them accountable for their actions.
Encourages and empowers subordinates to use initiative in achieving goals and objectives.
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
Fosters an environment built upon trust.
Maintains strong relationships with others.
Accepts responsibility for mistakes.
Demonstrates sincerity in actions with others.
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
Arrives to meetings on time.
Starts the workday when scheduled.
Invoices clients on a timely basis.
Maintains an efficient schedule of activities.
Avoids making personal phone calls during working hours.
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
Goal Setting
Makes sure that I have a clear idea of our group's goals.
Sets high expectations and goals; encourages others to support the organization.
Understands & contributes to development of strategic goals.
Achieves established goals.
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
Identifies predictable hazards in the workplace.
Ensures compliance with safety regulations.
Ensures that all supervisors are aware of regulatory and compliance measures.
Committed to safety in the workplace.
Encourages others to work safely.
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
Holds herself / himself accountable to goals / objectives
Is a person you can trust.
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
Behavior is ethical and honest.
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
Actively participates as a team member
Communicates well with team members.
Comes across as a reliable, committed team member
Encourages others to share ideas to develop team cohesion
Shares credit for accomplishments with 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
Understands complex issues and problems.
Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
Asks the 'right' questions to size up or evaluate situations.
Applies the knowledge of work processes to influence the achievement of business goals
Exhibits behavior that is consistent with the vision, mission, and core values 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
Communicates goals and objectives to employees.
Sustains or achieves a competitive advantage for the organization by analyzing the best practices and lessons learned from other organizations.
Able to decline a poor strategy by proposing alternate strategies.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Please feel free to provide any comments to help explain your answers?

56. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

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