Persuasion and Influence - 360 Degree Feedback Survey Sample #11

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)

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Persuasion and Influence

What does Persuasion and Influence mean?
It means that ...
  • You understand what others need.
  • You have excellent influencing/negotiating skills.
  • You attempt to persuade others rather than simply control them.
  • You communicate effectively with others.
  • You ensure stakeholders are involved in the decision making process.

To what extent does this person exhibit Persuasion and Influence?
Select from one of the ratings below.


What does Quality mean?
It means that ...
  • You encourage others to produce the highest quality work products.
  • You hold employees accountable for your quality of work.
  • You encourage employees to produce the best quality products.
  • You analyze what occurred and re-adjusts accordingly when goals are not met.
  • You reflect on what is working and what could be improved.

To what extent does this person exhibit Quality?
Select from one of the ratings below.


What does Objectives mean?
It means that ...
  • You set long-term and short-term goals.
  • You establish goals and objectives.
  • You work toward achieving established goals and objectives.
  • You effectively organize resources and plans
  • You encourage others to take on greater responsibility.

To what extent does this person exhibit Objectives?
Select from one of the ratings below.


What does Accountability mean?
It means that ...
  • You hold team accountable to meeting goals.
  • You take responsibility for results.
  • You define roles, rights, and responsibilities of the team.
  • You keep you supervisor informed of recent events.
  • You take ownership of mistakes and learn from them.

To what extent does this person exhibit Accountability?
Select from one of the ratings below.

Global Perspective

What does Global Perspective mean?
It means that ...
  • You are comfortable using teleconferencing equipment to facilitate meetings with others abroad.
  • You are able to listen and understand others and discuss issues in a respectful way.
  • You apply knowledge of overseas markets.
  • You build working relationships with others across cultures.
  • You understand and appreciate the perspectives offered by others with different cultural backgrounds.

To what extent does this person exhibit Global Perspective?
Select from one of the ratings below.

Areas for Development

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