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.
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Understanding what others need.
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
Follows-up and takes action when goals are not met to ensure better results in the future.
Establishes stretch goals to advance skills and output.
Takes calculated risks to achieve higher levels of performance.
Works at a quick pace to complete a high volume of work.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
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
Makes sure their interests are aligned with the client's interests.
Helps clients feel they are receiving services tailored specifically to their needs.
Maintains strong relationships with clients.
Transparent in all communications with the client.
Is consistent in services provided to 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
Is a person you can trust.
Responsible for setting the vision of the department.
Behavior is ethical and honest.
...takes personal responsibility for results.
Sets a good example.
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
Works to identify root causes of performance problems
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Provides ongoing feedback to co-workers on their development progress
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
Creates a culture that fosters and values collaboration.
Identifies and resolves conflicts within the team to increase team effectiveness
Creates opportunities to learn with other team members
Coaches team members
Shares credit for accomplishments 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
Values the diverse perspectives from others.
Is sensitive to the similarities and differences that exist between cultures.
May advocate for others with different cultural backgrounds.
Respects others regardless of age, race, gender, nationality, or disability.
Seeks opportunities to learn about the other cultural backgrounds of colleagues.
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
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands the "basics" as to how [Company] functions/operates.
Follows existing procedures and processes.
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
Leads employees in new directions.
Creates a common vision for others.
Expresses the Company vision in a way that is easily understood and adopted by employees.
Communicates a vision of where the Company needs to be in the future.
Clearly articulates a vision for his/her work and inspires others to support it
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.