Persuasion and Influence - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

Edit this Survey

Would you like to edit this survey? Click here to begin.

Persuasion and Influence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Persuades others to consider alternative points of view.
Understanding what others need.
Able to express own goals and needs.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
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
Accepts setbacks and challenges as improvement opportunities
Completed training on the new equipment.
Takes calculated risks.
Establishes Specific Measurable Achievable Realistic and Timed (SMART) goals.
Motivated to exceed performance goals.
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
Uses feedback from the client to help improve the client's experience.
Able to handle difficult clients.
Meets with clients on a regular basis.
Ensures clients' expectations are met or exceeded.
Is available to respond to client needs.
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.
Sets a good example
Behavior is ethical and honest.
Completes assigned work tasks.
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
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
Provides ongoing feedback to co-workers on their development progress
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
Helps the team make good decisions even under conditions of uncertainty.
Listens and is attentive to other team members.
Encourages others to share ideas to develop team cohesion
Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
Helps the team balance analysis with decisiveness in making decisions.
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
Effective in working with individuals with a variety of cultural backgrounds.
Seeks knowledge and information about other cultures.
Is sensitive to the similarities and differences that exist between cultures.
Recognizes individual and cultural differences.
Acknowledges their own biases in cultural interactions.
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
Impresses upon others the important aspects of [Company].
Follows existing procedures and processes.
Attends [Company] gatherings and social events.
Understands the use of [Company] products and services.
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
Promotes a vision that inspires individuals to take risks to achieve greater rewards.
Envisions and articulates a clear path for the department's accelerated growth over the next year.
Supports a positive vision for the future that increases market share and the bottom line.
Creates a compelling vision inspires employees, giving them a sense of purpose and direction.
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.