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
Communicates effectively with others.
Develops a good rapport with others.
Understanding what others need.
Seeks to obtain consensus or compromise.
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
Allocates resources as needed to accomplish organizational goals.
Makes use of talents of others to help achieve a high level of performance.
Demonstrates improvement in performance.
Establishes stretch goals to advance skills and output.
Completes work to a high technical standard
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
Is pro-active in dealing with clients and addressing their needs.
Forms strong client relationships
Looks for opportunities that have a positive impact on Clients.
Maintains strong relationships with clients.
Ensures client commitments and requirements are met or exceeded
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
Acts as a resource without removing individual responsibility.
Sets high personal standards of performance.
Completes assigned work tasks.
Is a person you can trust.
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
Provides ongoing feedback to co-workers on their development progress
Works to identify root causes of performance problems
Sets and clearly communicates expectations, performance goals, and measurements to others
Takes immediate action on poor performance
Adapts coaching and mentoring approach to meet the style or needs of individuals
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
Actively participates as a team member
Builds consensus and shares relevant information.
Contributes to and supports team decision-making process
Fosters teamwork rather than individual competition
Creates a culture that fosters and values collaboration.
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
Respects others regardless of age, race, gender, nationality, or disability.
Encourages a work environment where individual differences are valued.
Maintains an inclusive work environment that maximizes the talents of others in achieving goals.
Shows respect in daily interactions
Fosters a diverse workforce free from discrimination and harassment.
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
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the use of [Company] products and services.
Attends [Company] gatherings and social events.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
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
Persuades others to follow the Company's vision.
Demonstrates consistency between words and actions
Understands the vision of the Company and promotes it ahead of any self-interests.
Expresses the Company vision in a way that is easily understood and adopted by employees.
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.