Emotional Intelligence - 360 Degree Feedback Survey Sample #1





360-Degree Feedback Survey

Questionnaires Measuring Emotional Intelligence:
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)
Instructions:

[Company] is conducting a 360-Degree Feedback Assessment developed by HR-Survey for selected managers.

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey 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 questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going 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.

Competencies Included:
Emotional Intelligence, Management, Action, Continual Learning, Juggling Multiple Responsibilities, Technology Use/Management, Responsible, Conflict Management, Teamwork, Strategic Focus, Fiscal Management
Sample Result Document:
Sample Results
Your feedback is valuable in helping the individual to understand how they are perceived and experienced by others and the impact their behavior has on people in the organization with whom they interact. Feedback received also acknowledges strengths and identifies areas for development.

Use the form below to provide your feedback. Each field and comment box requires a response before you can SUBMIT your final feedback.

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team


Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Accurately perceives the emotional reactions of others.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Able to understand others' points of view.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes you feel enthusiastic about your work
  1. Takes responsibility for things that go wrong
  1. Keep staff informed about what is happening in the company
  1. Sets an example for others to follow
  1. Delegate tasks effectively
If [Participant Name] were to make improvements in Management, what are your suggestions for how he/she can improve this?

Action

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Makes decisions confidently and stands by them.
  1. Gets the job done.
  1. Is proactive in addressing the needs of the department.
  1. Addresses performance issues quickly.
  1. Rapidly adapts to changes in the situation.
If [Participant Name] were to make improvements in Action, what are your suggestions for how he/she can improve this?

Continual Learning

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Grasps new ideas, concepts, technical, or business knowledge.
  1. Is open to new ideas and concepts.
  1. Sets relevant learning objectives and goals.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Takes the initiative to learn new skills.
If [Participant Name] were to make improvements in Continual Learning, what are your suggestions for how he/she can improve this?

Juggling Multiple Responsibilities

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Can multitask while performing all of their other responsibilities and activities.
  1. Uses a scheduler/planner to keep tasks organized and on time.
  1. Assigns tasks based on skills of team members.
  1. Prioritizes tasks for efficiency.
  1. Recognizes and responds to product placement and signing needs while staying alert to customers' needs, store activities and training associates.
If [Participant Name] were to make improvements in Juggling Multiple Responsibilities, what are your suggestions for how he/she can improve this?

Technology Use/Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Supports technical training and development of employees.
  1. Understands and is committed to implementing new technologies.
  1. Applies complex rules and regulations to maintain optimal system performance.
  1. Supports employee training and development initiatives regarding implementation of technology.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
If [Participant Name] were to make improvements in Technology Use/Management, what are your suggestions for how he/she can improve this?

Responsible

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets a good example.
  1. Completes assigned work tasks.
  1. Sets high personal standards of performance.
If [Participant Name] were to make improvements in Responsible, what are your suggestions for how he/she can improve this?

Conflict Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Identifies the root sources of conflict.
  1. Facilitates both parties in collaboratively seeking a compromise.
  1. Avoids conflicts over minor issues.
  1. Tries to ensure that all basic needs are satisfied.
  1. Is responsive to contentious issues.
If [Participant Name] were to make improvements in Conflict Management, what are your suggestions for how he/she can improve this?

Teamwork

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Emphasizes the importance of getting individuals to work as a team
  1. Effective team player
  1. Builds relationships across boundaries and with key stakeholders by developing informal and formal networks.
  1. Comes across as a reliable, committed team member
  1. Focuses on understanding the other team member's message.
If [Participant Name] were to make improvements in Teamwork, what are your suggestions for how he/she can improve this?

Strategic Focus

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Develops strategies to increase efficiency and reduce environmental impacts.
  1. Able to formulate strategy at the corporate level.
  1. Effectively translates strategy into operational decisions.
  1. Aligns cross-functional teams to the strategic plan.
  1. Pursues strategic alliances with valued partners.
If [Participant Name] were to make improvements in Strategic Focus, what are your suggestions for how he/she can improve this?

Fiscal Management

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Monitors expenses and verifies the need for items purchased.
  1. Keeps excellent records for financial transparency.
  1. Ensures others follow the correct rules and regulations on fiscal matters.
  1. Monitors spending.
  1. Develops budgets and plans for various programs and initiatives.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

  1. What are [Participant Name Here]'s greatest strengths demonstrated this year?


  2. What are [Participant Name Here]'s areas for development?


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