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

• Persuades others to consider alternative points of view.
• Ensures stakeholders are involved in the decision making process.
• Attempts to persuade others rather than simply control them.
• Develops a good rapport with others.
• Communicates effectively 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

• Pursues goals with action to achieve success.
• Immediately develops alternatives and solutions when presented with a problem or issue.
• Changes course to meet the needs of a new situation.
• Is ambitious when working on the project.
• Will take action to address a problem rather than to wait to confer with others about the situation.

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

Feedback

• Is easy to approach with ideas and opinions.
• Looks to others for input.
• Shares past experiences with others as learning opportunities.
• Asks others for their ideas and opinions.
• Open to the suggestions 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

• Adapts coaching and mentoring approach to meet the style or needs of individuals
• Takes immediate action on poor performance
• Provides ongoing feedback to co-workers on their development progress
• Works to identify root causes of performance problems
• Gives others development opportunities through project assignments and increased job responsibilities

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

Strategic Focus

• Coordinates the implementation of the strategy with stakeholders.
• Turns strategic priorities into action plans.
• Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
• Makes plans to handle unforeseen events that could impact the achievement of strategic goals.
• Recognizes the need for strategically developing unique capabilities.

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.