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.
Understanding what others need.
Attempts to persuade others rather than simply control them.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
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
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Increased production by 20 percent.
Driven to complete goals despite obstacles that may arise.
Helps others to improve or meet standards of performance.
Accepts setbacks and challenges as improvement opportunities
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.
Focuses on providing excellent client service.
Puts client's needs first.
Engages with clients on multiple levels.
Competent in managing client projects.
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
Sets a good example.
Sets a good example
Sets high personal standards of performance.
...takes personal responsibility for results.
Is a person you can trust.
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
Gives others development opportunities through project assignments and increased job responsibilities
Works to identify root causes of performance problems
Adapts coaching and mentoring approach to meet the style or needs of individuals
Takes immediate action on poor performance
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
Works with other team members on the project.
Asks other team members to share their opinions.
Provides assistance and support to other team members when needed
Coaches team members to work toward a common goal.
Makes eye contact when listening to colleagues.
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
Is curious and willing to ask questions about the cultural differences in the workplace.
Is aware of differences in how individuals from other cultures greet one another.
Effective in working with individuals with a variety of cultural backgrounds.
Shows respect in daily interactions
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
Understands the use of [Company] products and services.
Follows existing procedures and processes.
Understands how decisions impact other business units beyond their immediate department of work group.
Understands the "basics" as to how [Company] functions/operates.
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
Channels team activities towards the vision's core aspects.
Committed to undertaking the implementation of the strategic vision.
Able to see trends in the business environment.
Designs a forward-thinking strategy to achieve the department's growth goals.
Encourages employees to prioritize activities that contribute to the 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.