Persuasion and Influence - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Persuasion and Influence

• Seeks to obtain consensus or compromise.
• Attempts to persuade others rather than simply control them.
• Understanding what others need.
• Communicates effectively with others.
• Develops a good rapport with others.

If [Participant Name] were to make improvements in Persuasion and Influence, what are your suggestions for how he/she can improve this?

Action

• Decides to act rather than remain passive.
• Gets the job done.
• Looks for extra ways to help the department achieve performance goals.
• Creates opportunities and then takes advantage of them.
• Is proactive in developing solutions to problems.

If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Feedback

• Actively seeks feedback from others.
• Shares past experiences with others as learning opportunities.
• Is visible and approachable.
• Looks to others for input.
• Accepts the views of others.

If [Participant Name] were to make improvements in Feedback, what are your suggestions for how he/she can improve this?

Co-worker Development

• Gives others development opportunities through project assignments and increased job responsibilities
• Works to identify root causes of performance problems
• Provides ongoing feedback to co-workers on their development progress
• Takes immediate action on poor performance
• 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?

Strategic Focus

• Aligns cross-functional teams to the strategic plan.
• Scans the environment for opportunities to exploit.
• Strategically positions resources to meet the needs of field based employees.
• Develops strategies that are practical and can be feasibly implemented within a reasonable period of time.
• Determines the best strategy for achieving elevated levels of performance.

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].

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

Strengths


Areas for Development


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