Persuasion and Influence - 360 Degree Feedback Survey Sample #7

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 and .

Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Communicates effectively with others.
Persuades others to consider alternative points of view.
Able to express own goals and needs.
If 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
Completes work to a high technical standard
Systematically works to improve the organization
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Accepts setbacks and challenges as improvement opportunities
Set high standards in their performance
If 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
Ensures client commitments and requirements are met or exceeded
Forms strong client relationships
Satisfies client needs.
Maintains strong relationships with clients.
Is pro-active in dealing with clients and addressing their needs.
If 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.
Is a person you can trust.
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
Acts as a resource without removing individual responsibility.
If 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
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
If 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
Encourages open communication
Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
Creates opportunities to learn with other team members
Communicates well with team members.
Creates a culture that fosters and values collaboration.
If 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
Fosters a diverse workforce free from discrimination and harassment.
Encourages a work environment where individual differences are valued.
Values the opinions of diverse groups and individual.
Recognizes and values individual and cultural differences.
Seeks out different viewpoints and benefits from different perspectives.
If 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 "basics" as to how [Company] functions/operates.
Impresses upon others the important aspects of [Company].
Expresses loyalty and dedication to [Company] in interactions with others.
Understands how decisions impact other business units beyond their immediate department of work group.
Attends [Company] gatherings and social events.
If 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.
Clearly articulates a vision for his/her work and inspires others to support it
Works to support the strategy of [Company]
Communicates the vision and strategy of [Company]
Expresses the Company vision in a way that is easily understood and adopted by employees.
If were to make improvements in Vision, what are your suggestions for how he/she can improve this?

45. Strengths
    
    
    
46. Areas for Development
    
    
    
47. Please give any final comments or suggestions for 's assessment.