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.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Persuades others to consider alternative points of view.
Develops a good rapport with others.
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
Reduces staff turnover.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Makes use of talents of others to help achieve a high level of performance.
Reduced department expenses by 25 percent.
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
Consistently demonstrates a client focus.
Meets with clients on a regular basis.
Satisfies client needs.
Is committed to the success of the client.
Accepts responsibility for ensuring client satisfaction.
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.
Acts as a resource without removing individual responsibility.
Works in a way that makes others want to work with her/him.
Is a person you can trust.
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
Gives others development opportunities through project assignments and increased job responsibilities
Adapts coaching and mentoring approach to meet the style or needs of individuals
Sets and clearly communicates expectations, performance goals, and measurements to others
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
Carries his/her share of the workload
Helps the team decide what long term goals need to be met.
Shares resources and information with the team.
Encourages collaboration with other departments.
Makes decisions that positively impact team performance.
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 aware of the similarities and differences among and between cultural groups.
Values the opinions of diverse groups and individual.
Functions effectively within various cultural contexts.
Actively listens to other employees' stories about their culture.
Treats others with dignity and respect.
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.
Impresses upon others the important aspects of [Company].
Understands the "basics" as to how [Company] functions/operates.
Attends [Company] gatherings and social events.
Expresses loyalty and dedication to [Company] in interactions with others.
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
Envisions and articulates a clear path for the department's accelerated growth over the next year.
Ensures that work is systematically aligned and coordinated with the organization's vision.
Committed to turning the strategic vision into reality by meticulously planning, coordinating, and overseeing the implementation of an action plan.
Brings the strategic vision to fruition by planning, coordinating, and executing necessary actions, while ensuring the team meets the overarching goals of the organization.
Develops an inspiring and ambitious vision of growth for the organization's future.
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.