Persuasion and Influence - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to our 360-Degree Feedback Assessment of [Participant Name]. Our objective is to provide feedback which will help advance his/her leadership skills and capabilities. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for [Participant Name]'s position in the department to provide you with an opportunity to anonymously rate many facets of his/her leadership performance. The survey will assess what you value most in their leadership skills and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team



Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

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Persuasion and Influence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Understanding what others need.
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Able to express own goals and needs.
Develops a good rapport with others.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes data and information from several sources and arrives at logical conclusions.
Analyzes issues and reduces them to their component parts.
Identifies the root cause of a problem.
Balances risks and costs with the rewards and probabilities of success when decisions.
Identifies opportunities for progress and innovation.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Analyzes processes to determine areas for improvement.
Looks for ways to improve work processes and procedures.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Maintains self-control when personally criticized.
Aligns the department's goals with the goals of the organization.
Makes sure that employees understand how their work relates to organizational goals.
Sets appropriate goals for employees.
Maintains focus when handling several problems or tasks simultaneously.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Strong organizational skills to keep the workspace and department in order
Accurately implements contract provisions.
Completes reports on-time.
Implements and uses performance measures.
Takes responsibility for decisions.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Offers constructive improvements to existing systems.
Creates improved methods or solutions for meeting goals and objectives.
Finds creative ways to get things done with limited resources.
Takes risks to advance important ideas.
Implements best practices within the department.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Consistently provides me with timely feedback for improving my performance.
Sets long-term and short-term goals.
Works toward achieving established goals and objectives.
Assures [Company] principles are understood, employed & pursued.
Establishes goals and objectives.
Coaching	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Meets regularly with employees to coach them on areas that will enhance their performance
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Helps employees to maintain high personal standards.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Does not let minor issues escalate into major problems.
Acknowledges each party's intrinsic needs.
Works with others as needed to facilitate resolution of conflicts.
Helps employees to think through alternative ways to resolve conflict situations.
Is responsive to contentious issues.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Excellent at managing relationships with stakeholders.
Seeks and utilizes mentors to help guide professional development.
Exhibits determination and passion in completion of goals.
Takes the initiative to complete tasks.
Devotes a certain amount of time and effort to developing new business opportunities.
Global Perspective	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Able to work with others from different cultures and countries.
Sets the example for team on importance of cultural awareness.
Exemplifies the skills of a global worker.
Works well with others from different cultural backgrounds.
Creates an environment where individual differences are valued and supported.

56. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor




57. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
58. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
59. What changes do you see [Company] making in order to raise the standards?
    
    
    
60. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
61. What do you like best about working for [Company]?
    
    
    
62. What do you like least about working for [Company]? How could it be improved?
    
    
    
93. Use the space below to enter any final comments you would like to be noted: