Persuasion and Influence - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to participate in a 360-assessment. As part of this process you will need to complete the self-assessment questionnaire below.

In responding to the questions below, think about your experiences over the last 12 months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others. A report will be shared with you at the conclusion of this project.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. 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

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Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You understand what others need.
You have excellent influencing/negotiating skills.
You seek to obtain consensus or compromise.
You develop a good rapport with others.
You communicate effectively with others.
Initiative	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You help the department take the initiative to create new solutions.
I take advantage of opportunities when they become available.
I inform the manager of any important changes in the equipment operation.
You act on own initiative to improve the department outcomes.
I act independently to solve pressing needs.
Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I am resilient and proactive to help thrive in unpredictable environments.
You are able to cope with a variety of client needs.
You are able to change your approach to solving a problem based on new information.
You are flexible in delivering training content to maximize the benefits of training but also foster an inclusive learning environment that can lead to greater team cohesion and productivity.
I demonstrate the ability to modify training methods and materials to suit visual, auditory, and kinesthetic learners, thereby enhancing overall comprehension and engagement.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You fully embrace the responsibilities that contribute to our departmental success.
I ensure that employees are compensated fairly and in accordance with established policies.
I am willing to answer for my own actions and performance.
You make sure the supervisor is always informed of any important events.
You consistently follow through on commitments and promises.
Leadership	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You are a highly effective supervisor.
You act decisively in implementing decisions.
You give direct, constructive, and actionable feedback.
You clearly explain performance expectations and goals to be reached at the beginning of a project, then let others decide how to achieve the goal.
You recognize individual and team accomplishments and reward them appropriately.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You make sure that employees understand how their work relates to organizational goals.
You stay focused even when under pressure and stress.
You make sure that employees understand and identify with the team's mission.
You function well under stress, deadlines, and/or significant workloads.
You maintain self-control when personally criticized.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I increase revenue for the company.
You are able to increase customer satisfaction scores for the quarter.
Your work improves the quality of work on the production line.
You systematically work to improve the organization
You demonstrate a sense of urgency to quickly and accurately solve problems and issues.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
I respond quickly to inquiries from potential customers.
You adapt management style to meet the needs of the individual or situation.
I recognize when others do a good job.
You attend to both the content and the context of what was being said.
You anticipate the concerns of other employees.
Conflict Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You help employees to think through alternative ways to resolve conflict situations.
I facilitate the resolution of grievances by fostering mutual understanding and appreciation of each party's needs.
You share competing viewpoints to expand viewpoints.
You prepare team members to accept differing view points.
I listen to individuals as they offer their unique perspectives on the situation.
Recognition	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
You readily share credit and gives others opportunity for visibility.
You compliment other people when they do good work
You recognize team members who offer a significant contribution to a project.
You are sincerely interested in the suggestions of co-workers
You find opportunities to recognize others.

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

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

    
    
52. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
54. Additional comments, if any for [Participant Name Here]'s assessment.