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.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Edit this Survey

Would you like to edit this survey? Click here to begin.

Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Influences others to complete tasks and goals.
Analyzes the situation and topics to develop the appropriate strategies and tactics for having the greatest influence.
Uses influence to shape thinking, not just actions - prompting reflection, reconsideration, or belief shifts.
Persuades others through the use of power, credibility, and authority.
Gets people to change their minds and alter the way they do things.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Focuses time on the tasks that yield the highest value.
Integrates automation into the process whenever feasible.
Organizes work responsibilities for maximum efficiency.
Manages the workload effectively in order to stay on schedule.
Anticipates bottlenecks and proactively redistributes time to mitigate delays.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops strategic plans for managing the change process.
Understands that changes may be needed to advance the organization.
Is a leading force driving changes.
Establishes the necessary direction to guide the changes.
Is aware of changes in customer needs/demands.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates potential obstacles to meeting client needs.
Treats clients with courtesy and respect.
Supports client focused policies and procedures.
Ensures client commitments and requirements are met or exceeded
Effectively troubleshoots client issues.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Facilitates both parties in collaboratively seeking a compromise.
Recognizes and rewards changes from employees that contribute to conflict resolution and team harmony.
Identifies and takes steps to prevent potential confrontations.
Reduces ambiguity that often leads to conflict by proactively defining roles, responsibilities, and communication norms.
Steers the process towards compromise and conflict resolution.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Works across boundaries within the organization.
Treats others with respect and dignity.
Forms working relationships with employees from other departments.
...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
Encourages a work environment where individual differences are valued.
Supports and mentors others that may have different cultural backgrounds.
Is aware of the similarities and differences among and between cultural groups.
Seeks to reduce obstacles in communication that might arise from cultural differences.
Is open and honest in communications with individuals from other cultures.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Develops of the department's annual budget.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
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.
Is aware of the culture, behaviors, identities and beliefs of others.
Cooperates with others on a global scale.
Considers customers point of view when making decisions.
Demonstrates working knowledge of global transactions.

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.