Persuasion and Influence - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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.
Has excellent influencing/negotiating skills.
Understanding what others need.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
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
Systematically works to improve the organization
Reduced department expenses by 25 percent.
Completed training on the new equipment.
Sets challenging goals.
Takes immediate action of projects that fall behind schedule.
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
Delivers on commitments made to clients.
Makes client's needs a top priority.
Uses feedback from clients to help improve services.
Puts client's needs first.
Is competent in handling difficult clients.
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.
Works in a way that makes others want to work with her/him.
Sets high personal standards of performance.
Completes assigned work tasks.
Holds herself / himself accountable to goals / objectives
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
Takes immediate action on poor performance
Sets and clearly communicates expectations, performance goals, and measurements to others
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
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
Helps the team exercise good judgment by making sound and informed decisions.
Facilitates effective teamwork during periods of change.
Shares resources and information with the team.
Able to work closely other team members who are considered to be difficult to work with.
Builds a strong rapport with team members.
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
Actively listens to other employees' stories about their culture.
Is aware of the similarities and differences among and between cultural groups.
Seeks out different viewpoints and benefits from different perspectives.
Fosters a diverse workforce free from discrimination and harassment.
Hires individuals with different cultural backgrounds for the department.
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
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the use of [Company] products and services.
Impresses upon others the important aspects of [Company].
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
Concentrates employees' tasks on essential parts of the vision.
Guides employees to prioritize crucial components of the vision.
Creates a clear and inspiring vision statement that outlines the desired future for the company.
Clearly articulates a vision for his/her work and inspires others to support it
Provides staff with the necessary resources, authority, and support to effectively implement and achieve the organization's vision.
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.