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.

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. Communicates effectively with others.
  1. Understanding what others need.
  1. Attempts to persuade others rather than simply control them.
  1. Able to express own goals and needs.
  1. Seeks to obtain consensus or compromise.
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 crucial information to others.
  1. Uses ideas and perspectives to persuade others.
  1. Shares important information with others.
  1. Delivers influential presentations.
  1. Checks for understanding throughout conversations or group presentations/discussions
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. Assigns tasks to create learning opportunities for the employees.
  1. Allows subordinates to use their own methods and procedures.
  1. 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
  1. Follows tasks to completion.
  1. Demonstrates honesty and truthfulness at all times.
  1. Accepts responsibility for mistakes.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Protects the integrity and confidentiality of information
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. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
  1. Starts the workday when scheduled.
  1. Arrives to meetings on time.
  1. Starts meetings on time.
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. Makes sure that team members have a clear idea of our group's goals.
  1. Achieves goals.
  1. Sets high expectations and goals; encourages others to support the organization.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
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. Ensures that all supervisors are aware of regulatory and compliance measures.
  1. Performs work safely.
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Supports our company's safety programs.
  1. Identifies predictable hazards in the workplace.
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 a good example.
  1. Responsible for setting the vision of the department.
  1. Holds herself / himself accountable to goals / objectives
  1. ...takes personal responsibility for results.
  1. Is a person you can trust.
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. Facilitates team discussions and problem-solving
  1. Treats other team members with respect.
  1. Helps the team balance analysis with decisiveness in making decisions.
  1. Applies knowledge of team behavior to help achieve organizational goals and objectives.
  1. Facilitates effective decision-making practices to further develop the team.
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. Interprets data to make informed business decisions.
  1. Considers environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
  1. Collects valuable customer insights to ensure our services meet their needs.
  1. Gathers important information from customers to make sure our products are relevant and useful.
  1. Gathers essential customer data to align our products with their expectations.
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. Develops strategies to seek new opportunities.
  1. Understands how to grow the business and increase customers.
  1. Exhibits a strategic orientation to identify and capitalize on opportunities to advance the organization.
  1. Aligns cross-functional teams to the strategic plan.
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.