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



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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. Analyzes the situation and topics to develop the appropriate strategies and tactics for having the greatest influence.
  1. Anticipates objections and proactively adjusts messaging to address concerns while maintaining focus on desired outcomes.
  1. Uses a high personal reputation to gain acceptance from others for a point of view.
  1. Always provides specifics and facts to backup arguments.
  1. Responds to challenges with composure, modeling emotional steadiness during uncertainty or conflict.
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. Coaches others on their written communication skills
  1. Asks follow-up questions as needed.
  1. Clarifies problems logically, simplifying complex matters into digestible parts.
  1. Communicates clearly and get to the point without unnecessary details.
  1. Presents their message with professionalism.
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. Encourages initiative and problem-solving while remaining available for guidance.
  1. Recognizes individual expertise to delegate tasks in a way that maximizes team performance and workflow efficiency.
  1. Establishes checkpoints and escalation paths to ensure accountability without micromanagement.
  1. Facilitates employee understanding and acceptance of the assigned tasks.
  1. Utilizes employees' unique strengths to enhance productivity and ensure high-quality outcomes.
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. Understands the business need for self-regulation and integrity in reporting.
  1. Applies policies and procedural rules equally to all employees avoiding favoritism.
  1. Exemplifies integrity by advocating for colleagues and standing up for what is right, even when it is difficult.
  1. Demonstrates integrity by respecting others, embodying the core ethical principles of fairness and justice.
  1. Creates a compliance and ethics culture where integrity is at the core of all decisions.
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. Starts meetings on time.
  1. Maintains an efficient schedule of activities.
  1. Arrives to meetings on time.
  1. Conducts appointments at scheduled start 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. Is a dedicated supporter to significantly enhance the likelihood of goal attainment.
  1. Performs a risk assessment to identify potential obstacles which may change the priority of certain goals.
  1. Participates in the setting of departmental goals.
  1. Avoids unproductive actions that fail to advance the achievement of the goal.
  1. Stays on task and steers clear of distractions to reach 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. Supports safety programs and procedures.
  1. Commits adequate resources toward safety measures.
  1. Identifies predictable hazards in the workplace.
  1. Develops safety guidelines for the department.
  1. Ensures that all supervisors are aware of regulatory and compliance measures.
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. Sets high personal standards of performance.
  1. ...takes personal responsibility for results.
  1. Behavior is ethical and honest.
  1. Completes assigned work tasks.
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. Is open to new ideas that may change own goals for benefit of the team
  1. Treats other team members with respect.
  1. Identifies and resolves conflicts within the team to increase team effectiveness
  1. Builds strong relationships with team members.
  1. Committed to the successful completion of team goals.
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. Understands cash flow procedures and statements.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
  1. Effectively develops and uses resources (people, time, money, supplies, equipment, and space) to improve organizational performance
  1. Uses risk management to make more effective business decisions.
  1. Meets with customers to gain insights into their core needs and how to strategically serve them.
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. Implements and executes the company's strategy for advancing production capabilities.
  1. Identifies and focuses resources on strategic growth opportunities.
  1. Maintains a strategic focus on external factors impacting the success of the company.
  1. Creates strategic objectives to increase revenue and profit margins.
  1. Undertakes a SWOT analysis to determine the best strategy to move forward.
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.