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. Attempts to persuade others rather than simply control them.
  1. Seeks to obtain consensus or compromise.
  1. Has excellent influencing/negotiating skills.
  1. Persuades others to consider alternative points of view.
  1. Able to express own goals and needs.
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. Conveys ideas confidently and succinctly.
  1. Presents issues, ideas, and strategy concisely and clearly.
  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. Communicates effectively with colleagues and customers
  1. Is an effective communicator
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. Assigns tasks to create learning opportunities for the employees.
  1. Clearly defines duties and tasks to be completed.
  1. Delegates authority and responsibility to subordinates and holds them accountable for their actions.
  1. Sets clear and reasonable expectations for others and follows through on their progress.
  1. Defines goals and objectives for subordinates.
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. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates honesty and truthfulness at all times.
  1. Does what was promised.
  1. Maintains strong relationships with others.
  1. Fosters an environment built upon trust.
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. Arrives to meetings on time.
  1. Conducts appointments at scheduled start time.
  1. Starts meetings on time.
  1. Responds to requests for information in a timely manner.
  1. Invoices clients on a timely basis.
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. Understands & contributes to development of strategic goals.
  1. Achieves goals.
  1. Conducts timely follow-up; keeps others informed on a need to know basis.
  1. Establishes and documents goals and objectives.
  1. 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
  1. Commits adequate resources toward safety measures.
  1. Committed to safety in the workplace.
  1. Participates in safety training when offered.
  1. Is not afraid to question a potential safety issue observed in the workplace.
  1. Develops safety guidelines for the department.
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. Behavior is ethical and honest.
  1. Is a person you can trust.
  1. Sets a good example.
  1. Acts as a resource without removing individual responsibility.
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. Willing to listen to the ideas of other team members.
  1. Encourages other team members to adopt new procedures.
  1. Helps the team make good decisions even under conditions of uncertainty.
  1. Relates to all kinds of people tactfully
  1. Creates opportunities to learn with other 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
  1. Understands the costs, profits, markets, and added value of issues.
  1. Keeps informed of current income and expenses.
  1. Able to correctly assess current/estimated valuations.
  1. Considers impact of actions on other areas of the organization.
  1. Seeks to better understand other areas of the company, including their operations, personnel, and output.
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 business strategies to strengthen competitive capabilities.
  1. Assigns individuals the responsibility of keeping track of progress toward achieving milestones.
  1. Develops a strategic vision for the future.
  1. Strategically positions resources to meet the needs of field based employees.
  1. Monitors company performance and makes adjustments to the strategic plan as needed.
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.