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

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Persuasion and Influence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Understanding what others need.
Persuades others to consider alternative points of view.
Time Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Continues working on the most important tasks until they are completed.
Starts meetings on time.
Integrates automation into the process whenever feasible.
Ensures timely completion of vital work.
Manages inbox items promptly.
Change Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Inspires others to accept changes.
Supports new initiatives for organizational changes to improve effectiveness.
Inspires others to want to change.
Effective in dealing with ambiguous and challenging situations.
Develops plans for following through on the changes.
Client Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Engages with clients on multiple levels.
Prioritizes client issues to tackle the most pressing needs first.
Is committed to the client's success.
Creates customized solutions for the client.
Addresses client complaints immediately.
Conflict Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses structured frameworks for resolving conflicts, such as mediation or facilitated discussions.
Settles disputes resulting in a win-win for both parties.
Promotes openness and urges individuals to explore various options for resolving the conflict.
Helps others avoid misperceptions about issues.
Works with others as needed to facilitate resolution of conflicts.
Others	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to see issues from others' perspectives.
Respects the opinions of other employees.
...treats others with respect and dignity.
Works effectively with people from other departments.
Constructively receives criticism and suggestions from others.
Cultural Awareness	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands the impact that our culture may have on interactions between individuals.
Accepts individual differences.
Shows respect in daily interactions
Effective in working with individuals with a variety of cultural backgrounds.
Understands how their own cultural background can impact the way they communicate and interact with others.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Ensures others follow the correct rules and regulations on fiscal matters.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands global systems such as the global economy.
Creates an environment where individual differences are valued and supported.
Facilitates open communication with individuals from other countries.
Is aware of the culture, behaviors, identities and beliefs of others.
Collaborates with others respectfully and effectively with other people regardless of differences in 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.