Persuasion and Influence - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?
Achievement	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Created impactful reports for the re-organization committee.
Takes calculated risks to achieve higher levels of performance.
Driven to complete assignments on time.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Sets ambitious standards of performance.
If [Participant Name] were to make improvements in Achievement, what are your suggestions for how he/she can improve this?
Client Focus	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Prioritizes the needs and preferences of the client.
Understands what resources are needed to meet client needs.
Consistently exceeds client expectations.
Tailors innovative products for each client.
Helps others in responding to client needs.
If [Participant Name] were to make improvements in Client Focus, what are your suggestions for how he/she can improve this?
Responsible	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
...takes personal responsibility for results.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Holds herself / himself accountable to goals / objectives
Works in a way that makes others want to work with her/him.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?
Co-worker Development	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?
Teamwork	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Builds a strong rapport with team members.
Able to work closely other team members who are considered to be difficult to work with.
Is open to new ideas that may change own goals for benefit of the team
Applies knowledge of team behavior to help achieve organizational goals and objectives.
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?
Cultural Awareness	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Values the diverse perspectives from others.
Values the opinions of diverse groups and individual.
Avoids referring to stereotypes about others from different cultures.
Aware of their own cultural views.
Understands what customs and etiquette are important for individuals from other cultures.
If [Participant Name] were to make improvements in Cultural Awareness, what are your suggestions for how he/she can improve this?
Company	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Expresses loyalty and dedication to [Company] in interactions with others.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
If [Participant Name] were to make improvements in Company, what are your suggestions for how he/she can improve this?
Vision	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Clearly articulates a vision for his/her work and inspires others to support it
Behaves in a way that is consistent with business values & code of conduct
Communicates a vision of where the Company needs to be in the future.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Creates a common vision for others.
If [Participant Name] were to make improvements in Vision, what are your suggestions for how he/she can improve this?

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