Persuasion and Influence - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Has excellent influencing/negotiating skills.
Understanding what others need.
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Leverages calendars to help keep better track of events.
Takes the initiative to tackle critical issues earlier rather than later.
Stays undistracted by slower coworkers.
Avoids distractions from personal phone or other personal devices.
Leaves time in the schedule for unplanned contingencies.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is a leading force driving changes.
Develops plans for following through on the changes.
Assists others in understanding changes to the organization.
Inspires others to want to change.
Inspires others to accept changes.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is focused on improving client services.
Creates new and innovative products for clients.
Makes sure client needs are understood by the team members.
Understands the needs of the client.
Adapts to changes proposed by the client.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies and takes steps to prevent potential confrontations.
Discusses conflict situations with supervisor.
Clearly expresses expectations to others.
Helps employees to think through alternative ways to resolve conflict situations.
Deals effectively with employee grievances.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Respects the opinions of other employees.
Able to see issues from others' perspectives.
Works across boundaries within the organization.
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Views diversity as a strength, not as an issue.
Supports and mentors others that may have different cultural backgrounds.
Engages with individuals that have different cultural backgrounds.
Hires individuals with different cultural backgrounds for the department.
Is aware of cultural differences in business etiquette.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops of the department's annual budget.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Keeps excellent records for financial transparency.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates an environment where individual differences are valued and supported.
Has positive interactions with individuals from different cultures and backgrounds.
Understands how cultures differ and how these differences impact work behavior.
Communicates effectively on a multi-lingual basis.
Accepts setbacks and challenges in foreign markets as improvement opportunities

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.