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
Understanding what others need.
Seeks to obtain consensus or compromise.
Ensures stakeholders are involved in the decision making process.
Attempts to persuade others rather than simply control them.
Has excellent influencing/negotiating skills.
Problem Solving	Agree	Unsure	Disagree	N/A
Able to balance the needs of different people in a solution to a problem.
Ability to solve problems at root cause rather than at symptom level.
Finds creative ways to get things done with limited resources.
Solves problems using logic and insight.
Works cooperatively with others to solve problems.
Attitude	Agree	Unsure	Disagree	N/A
Contributes to a positive work environment.
Visibly supports and encourages diversity in style and background.
Builds open and trusting relationships.
Treats all people fairly and with respect.
Shows by their actions that they trust in the positive intentions of others.
Cultural Awareness	Agree	Unsure	Disagree	N/A
Values the opinions of diverse groups and individual.
Respects others regardless of age, race, gender, nationality, or disability.
Fosters a diverse workforce free from discrimination and harassment.
Seeks out different viewpoints and benefits from different perspectives.
Shows respect in daily interactions
Initiative	Agree	Unsure	Disagree	N/A
Takes action without being asked.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Seeks and utilizes opportunities for continuous learning and self-development.
Takes the initiative to change the direction or course of events.
Results Oriented	Agree	Unsure	Disagree	N/A
Encourages a high-energy, fun work environment and coaches others on how to do the same
Helps others when free-time is available.
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Demonstrates the personal confidence to "stay the course," even when faced with difficulty
Clarity	Agree	Unsure	Disagree	N/A
Attends to the important details of a job or task.
Is clear about the roles and duties of team members.
Adjusts communication methods to the needs of the audience.
Checks details thoroughly.
Avoids creating ambiguity or mixed messages.
Managing Risk	Agree	Unsure	Disagree	N/A
Knows how to obtain desired results with minimal losses.
Creates informative guides regarding potential risks and risky behaviors.
Seeks to maintain the long-term viability of the Company.
Gathers information regarding potential risks.
Attends risk management seminars and conferences.
Co-worker Development	Agree	Unsure	Disagree	N/A
Provides ongoing feedback to co-workers on their development progress
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
Takes immediate action on poor performance
Negotiation	Agree	Unsure	Disagree	N/A
Conducts necessary preparations before engaging in negotiations.
Stays calm and focuses on the core issues to be discussed.
Changes communication styles to meet the listener's needs.
Maintains communication channels between parties in the negotiation.
Leverages relationships with others to achieve goals.

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.