Persuasion and Influence - 360 Degree Feedback Survey Sample #10





360 Feedback Survey

Questionnaires Measuring Persuasion and Influence:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Sample Result Document:
Sample Results

Persuasion and Influence

  • Has excellent influencing/negotiating skills.
  • Persuades others to consider alternative points of view.
  • Seeks to obtain consensus or compromise.
  • Communicates effectively with others.
  • Ensures stakeholders are involved in the decision making process.
If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Action

  • Conducts critical-incident review immediately after the event.
  • Completes tasks despite obstacles encountered.
  • Works across organizational lines and boundaries to attain goals.
  • Fixes small issues before they become critical incidents.
  • Takes action to respond to dissatisfied customer.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Feedback

  • Is visible and approachable.
  • Accepts the views of others.
  • Is easy to approach with ideas and opinions.
  • Asks others for their ideas and opinions.
  • Shares past experiences with others as learning opportunities.
If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Co-worker Development

  • Works to identify root causes of performance problems
  • Provides ongoing feedback to co-workers on their development progress
  • Sets and clearly communicates expectations, performance goals, and measurements to others
  • Adapts coaching and mentoring approach to meet the style or needs of individuals
  • Takes immediate action on poor performance
If [Participant Name] were to make improvements in Co-worker Development, what are your suggestions for how he/she can improve this?

Strategic Focus

  • Determines the best strategy for achieving elevated levels of performance.
  • Creates deadlines for various components of the strategy.
  • Maintains a strategic focus on external factors impacting the success of the company.
  • Gives adequate consideration to the time and resources available.
  • Sets strategic objectives to be achieved.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?
Overall, please rate the effectiveness of [Participant Name Here].






Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.