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
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Seeks to obtain consensus or compromise.
Communicates effectively with others.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Consistently meets the project schedule.
Tackles major tasks or problems first before addressing minor issues.
Manages time effectively by focusing efforts on high value tasks.
Arrives to (attends) meetings on time.
Is concerned about adhering to the schedule.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Supports new initiatives for organizational changes to improve effectiveness.
Able to get department employees to accept new changes.
Supports the Company's efforts to implement changes.
Develops plans for following through on the changes.
Able to get team members to change their attitudes.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Meets with clients on a regular basis.
Adapts to changes proposed by the client.
Demonstrates a commitment to client focus.
Identifies the most pressing needs of each client.
Responds to the needs of the client.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works to settle conflicts in a manner that is acceptable for a long-term solution.
Tries to understand others' point of view before making judgments
Persuades others to accept personal transformation.
Seeks to remove misperceptions that may contribute toward conflict.
Facilitates dialog between team members.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to see issues from others' perspectives.
Consistently demonstrates ability and willingness to trust others.
Forms working relationships with employees from other departments.
...treats others with respect and dignity.
Constructively receives criticism and suggestions from others.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Avoids referring to stereotypes about others from different cultures.
Values the diverse perspectives from others.
Understands how implicit biases can affect decisions, communication and productivity.
Open to learning about different cultures.
Treats others with dignity and respect.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Comfortable using teleconferencing equipment to facilitate meetings with others abroad.
Facilitates open communication with individuals from other countries.
Analyzes global issues/problems that are having a large impact on the Company.
Has positive interactions with individuals from different cultures and backgrounds.
Works well with others from different cultural backgrounds.

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.