Persuasion and Influence - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Persuasion and Influence	Agree	Unsure	Disagree	N/A
Communicates effectively with others.
Attempts to persuade others rather than simply control them.
Able to express own goals and needs.
Ensures stakeholders are involved in the decision making process.
Has excellent influencing/negotiating skills.
Problem Solving	Agree	Unsure	Disagree	N/A
Makes judgments based upon relevant information.
Solves problems using logic and insight.
Understands the root causes of problems.
Generates alternative solutions to problems and challenges.
Ability to develop innovative solutions to problems.
Attitude	Agree	Unsure	Disagree	N/A
Contributes to a positive and fun work environment.
Builds open and trusting relationships.
Visibly supports and encourages diversity in style and background.
Contributes to a positive work environment.
Works to eliminate unnecessary work or barriers that get in others' way.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Is curious and willing to ask questions about the cultural differences in the workplace.
Actively listens to other employees' stories about their culture.
Acknowledges their own biases in cultural interactions.
Avoids referring to stereotypes about others from different cultures.
Willing to work with employees who have different cultural backgrounds.
Initiative	Agree	Unsure	Disagree	N/A
Initiates draft reports for consideration.
Immediately informs the supervisor of any critical incidents.
Seeks and utilizes opportunities for continuous learning and self-development.
Does things without being told.
Creates solutions to problems as soon as an incident occurs.
Results Oriented	Agree	Unsure	Disagree	N/A
Directs team in prioritizing daily work activities
Helps others when free-time is available.
Inspires and motivates co-workers to be productive and energetic at work
Does not become distracted by non-issues or interruptions.
Encourages a high-energy, fun work environment and coaches others on how to do the same
Clarity	Agree	Unsure	Disagree	N/A
Makes sure employees understand why they were given certain assignments.
Is clear about the roles and duties of team members.
Uses appropriate grammar and tense in communications.
Writes clear job descriptions for positions in the organization.
Attends to the important details of a job or task.
Managing Risk	Agree	Unsure	Disagree	N/A
Is aware of the financial implications of certain risks.
Seeks to increase safety in the workplace.
Performs a risk analysis as needed.
Is concerned about process safety management.
Committed to implementing rules and procedures to minimize risk.
Co-worker Development	Agree	Unsure	Disagree	N/A
Provides ongoing feedback to co-workers on their development progress
Takes immediate action on poor performance
Gives others development opportunities through project assignments and increased job responsibilities
Sets and clearly communicates expectations, performance goals, and measurements to others
Works to identify root causes of performance problems
Negotiation	Agree	Unsure	Disagree	N/A
Able to influence others to accept certain positions.
Identifies verbal and nonverbal cues to help interpret actions and messages.
Maintains good interpersonal relationships with representatives from the other party.
Changes communication styles to meet the listener's needs.
Actively listens to conversations to be able to recall important details later.

51. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
52. Strengths
    
    
    
53. Areas for Development
    
    
    
54. Please give any final comments or suggestions for [Participant Name Here]'s assessment.