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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. Ensures stakeholders are involved in the decision making process.
  1. Able to express own goals and needs.
  1. Persuades others to consider alternative points of view.
  1. Communicates effectively with others.
  1. Has excellent influencing/negotiating skills.
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. Summarizes or paraphrases the current question to confirm understanding.
  1. Delivers messages with energy, enthusiasm, and conviction.
  1. Informs supervisor about progress made on goals and objectives.
  1. Responds to questions with accurate and complete answers
  1. Is willing to give feedback to others even if that feedback is critical of their approach.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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Competency
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Delegates tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. Assigns tasks to create learning opportunities for the employees.
  1. Allows subordinates to use their own methods and procedures.
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
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Competency
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Competency
  1. Demonstrates honesty and truthfulness at all times.
  1. Fosters an environment built upon trust.
  1. Demonstrates sincerity in actions with others.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Follows tasks to completion.
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
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Competency
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Competency
  1. Arrives to meetings on time.
  1. Starts meetings on time.
  1. Starts the workday when scheduled.
  1. Responds to requests for information in a timely manner.
  1. 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
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Competency
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Competency
Always
Exhibits this
Competency
  1. Achieves established goals.
  1. Establishes and documents goals and objectives.
  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. Understands & contributes to development of strategic goals.
Please feel free to provide any comments to help explain your answers?

Safety

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. Develops safety guidelines for the department.
  1. Participates in safety training when offered.
  1. Is aware of OSHA safety guidelines.
  1. Develops a sustainable safety culture.
  1. Develops a strong safety culture.
Please feel free to provide any comments to help explain your answers?

Responsible

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Exhibits this
Competency
  1. Sets a good example.
  1. Completes assigned work tasks.
  1. Sets high personal standards of performance.
  1. Is a person you can trust.
  1. 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
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Competency
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Competency
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Competency
  1. Listens to other team members without interrupting them.
  1. Lets team members know when they have done well.
  1. Treats other team members with respect.
  1. Relates to all kinds of people tactfully
  1. Effective team player
Please feel free to provide any comments to help explain your answers?

Business Acumen

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
  1. Implements long-term strategic solutions to critical problems.
  1. Has a good understanding of business operations to more effectively align company services to meet the needs of its customers.
  1. Recognizes trends in underlying data.
  1. Anticipates customer's business needs.
  1. Bases decisions on business data rather than on intuition or hunches.
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. Makes sure employees understand the strategy and goals.
  1. Develops a strategic vision for the future.
  1. Creates measures of performance and profitability to assess financial objectives.
  1. Is effective in using strategic tools such as value chain analysis, business environment analysis, and competitor analysis.
  1. Develops strategies to seek new opportunities.
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.