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. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
  1. Understanding what others need.
  1. Has excellent influencing/negotiating skills.
  1. Attempts to persuade others rather than simply control them.
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. 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.
  1. Summarizes the question to verify comprehension.
  1. Prepares and delivers presentations.
  1. Communicates effectively with colleagues and customers
  1. Reports progress on goals to the supervisor.
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. Allows employees to decide how they wish to complete the tasks.
  1. Encourages and empowers subordinates to use initiative in achieving goals and objectives.
  1. Tells subordinates what to do, not how to do it.
  1. Entrusts subordinates with important tasks.
  1. Assigns tasks to create learning opportunities for the employees.
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. Fosters an environment built upon trust.
  1. Fosters a high standard of ethics and integrity.
  1. Accepts responsibility for mistakes.
  1. Demonstrates sincerity in actions with 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. Starts the workday when scheduled.
  1. Avoids making personal phone calls during working hours.
  1. Conducts appointments at scheduled start time.
  1. Responds to requests for information in a timely manner.
  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. Establishes and documents goals and objectives.
  1. Goal Setting
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Makes sure that I have a clear idea of our group's goals.
  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
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. Identifies predictable hazards in the workplace.
  1. Identifies and addresses safety needs.
  1. Seeks to reduce the likelihood of accidents.
  1. Ensures compliance with safety regulations.
  1. Mitigates hazards and safety issues that arise.
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
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Competency
Always
Exhibits this
Competency
  1. Holds herself / himself accountable to goals / objectives
  1. Acts as a resource without removing individual responsibility.
  1. Sets high personal standards of performance.
  1. Sets a good example.
  1. Responsible for setting the vision of the department.
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
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Exhibits this
Competency
  1. Makes sure each team member participates in the task.
  1. Appreciates the input from other team members.
  1. Builds a strong rapport with team members.
  1. Fosters respect and understanding among team members
  1. Coaches team on how to solve problems, plan, and meet organizational goals and objectives.
Please feel free to provide any comments to help explain your answers?

Business Acumen

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. Is up-to-date with regulatory guidelines and policies.
  1. Recognizes trends in underlying data.
  1. Understands impacts of domestic & global market events & issues.
  1. Understands complex issues and problems.
  1. Considers environmental, social, and governance (ESG) factors to ensure the business is sustainable in the long run.
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. Identifies the role of each department in meeting the strategic goals.
  1. Understands the importance of developing strategic capabilities.
  1. Determines the best approach to achieving desired goals.
  1. Identifies and focuses resources on strategic growth opportunities.
  1. Maintains a strategic focus on external factors impacting the success of the company.
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.