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
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Analytical	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Implements data validation techniques and methods.
Asks the "right" questions to size up or evaluate situations.
Uses appropriate techniques to solve problems.
Selects the appropriate techniques for analysis.
Identifies opportunities for progress and innovation.
Continual Improvement	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Searches for new methods, techniques, and processes that increase efficiency and reduce costs.
Promotes training and development opportunities to enhance job performance.
Looks for ways to improve work processes and procedures.
Looks for ways to expand current job responsibilities.
Establishing Focus/Direction	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Makes sure that employees understand how their work relates to organizational goals.
Functions well under stress, deadlines, and/or significant workloads.
Sets appropriate goals for employees.
Maintains self-control when personally criticized.
Maintains focus when handling several problems or tasks simultaneously.
Administrative Skill	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
High attention to detail.
Able to develop, justify and present a budget.
Accurately implements contract provisions.
Takes responsibility for decisions.
Has strong technical/computer skills.
Innovation	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Challenges current procedures to develop other alternatives.
Encourages open communication to ensure that all proposals are considered.
Suggests new ideas at meetings.
Objectives	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Effectively organizes resources and plans
Works toward achieving established goals and objectives.
Ability to establish realistic goals.
Organizes and schedules events, activities, and resources.
Communicates goals and objectives to employees.
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
Provides clear, motivating, and constructive feedback.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Conducts regular performance appraisals and feedback.
Addresses employee behavior problems effectively.
Conflict Management	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Helps employees to think through alternative ways to resolve conflict situations.
Identifies and takes steps to prevent potential confrontations.
Clearly expresses expectations to others.
Entrepreneurship	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Encourages risk taking for developing potential business opportunities.
Encourages dynamic growth opportunities.
Excellent at managing relationships with stakeholders.
Exhibits determination and passion in completion of goals.
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
Accepts setbacks and challenges in foreign markets as improvement opportunities
Sets the example for team on importance of cultural awareness.
Forms strong client relationships with international partners.
Aligns personal vision with global strategies.
Applies knowledge of overseas markets.

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: