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. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Able to understand others' points of view.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to control their own emotions.
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. Delegate tasks effectively
  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
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. Motivates & supports others to gain skills
  1. Undertakes actions to achieve specific goals.
  1. Drives and mobilizes others progress toward goals.
  1. Avoids "Analysis Paralysis" through action.
  1. Creates opportunities and then takes advantage of them.
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. Improves on their skill sets.
  1. Pursues self-improvement through continual learning.
  1. Builds on their strengths while addressing their weaknesses.
  1. Shares best practices with others and learns from others.
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. Is aware of the deadlines for specific tasks/assignments.
  1. Assesses current capabilities before committing to new requests from customers.
  1. Coordinates the work of a team by assigning tasks to other team members.
  1. Manages impact of increased traffic flow and freight receipt by detailed planning of controllables and by anticipating and reacting positively to uncontrollables.
  1. Avoids bottlenecks in progress by assigning multiple individuals to critical tasks.
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. Adopts the implementation of new technology into the workplace.
  1. Supports technical training and development of employees.
  1. Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
  1. Maximizes the use of new technology to deliver products and services.
  1. Applies complex rules and regulations to maintain optimal system performance.
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. ...takes personal responsibility for results.
  1. Works in a way that makes others want to work with her/him.
  1. Completes assigned work tasks.
  1. Is a person you can trust.
  1. Sets a good example
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. Helps employees to think through alternative ways to resolve conflict situations.
  1. Deals effectively with employee grievances.
  1. Clearly expresses expectations to others.
  1. Identifies and takes steps to prevent potential confrontations.
  1. Tries to understand others' point of view before making judgments
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. Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
  1. Listens to other team members without interrupting them.
  1. Works well with other team members.
  1. Makes decisions that positively impact team performance.
  1. Encourages others to share ideas to develop team cohesion
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. Identifies sources for developing a global competitive advantage for the company.
  1. Makes sure that all departments/teams are contributing toward the success of the strategy.
  1. Effectively translates strategy into operational decisions.
  1. Looks for opportunities to enhance contributions to the bottom line.
  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. Develops of the department's annual budget.
  1. Monitors spending.
  1. Develops budgets and plans for various programs and initiatives.
  1. Provides budgeting and accounting support to the Company.
  1. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
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.