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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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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
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Emotional Intelligence

Needs
Improvement
Meets
Minimum
Standards
Is
Proficient
Role
Model
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to express themselves clearly.
  1. Is able to control their own emotions.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to manage 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. Plans and controls the allocation of resources to implement current strategies.
  1. Tracks progress against strategic goals and uses insights to refine future plans.
  1. Acknowledges and celebrates when employees take initiative or solve problems on their own.
  1. Guides conflicting parties toward shared solutions that balance organizational goals with individual needs.
  1. Openly acknowledges errors and takes corrective action, setting a tone of responsibility and growth.
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. Overcomes obstacles that may impede progress on a task.
  1. Establishes the tasks and direction for the team.
  1. Converts plans into actions.
  1. Effectively makes decisions
  1. Makes decisions confidently and stands by 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. Is open to new ideas and concepts.
  1. Seeks opportunities to grow in skills and knowledge.
  1. Takes charge of their training and skills enhancement.
  1. Improves on their skill sets.
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. Completes multiple tasks simultaneously.
  1. Spends the most time and effort on critical tasks first.
  1. Plans and organizes continuously while performing all other responsibilities and activities.
  1. Is aware of the deadlines for specific tasks/assignments.
  1. Assesses current capabilities before committing to new requests from customers.
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. Proficient in the use of technical systems and processes.
  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.
  1. Supports technical training and development of employees.
  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. Works in a way that makes others want to work with her/him.
  1. Behavior is ethical and honest.
  1. Sets a good example
  1. Sets a good example.
  1. Is a person you can trust.
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. Strives to ensure that all basic needs are met, resulting in mutual benefits for both parties.
  1. Uses structured frameworks or models (e.g., interest-based negotiation, root cause analysis) to guide conflict resolution.
  1. Avoids premature conclusions, allowing space for nuance and deeper understanding.
  1. Establishes roles and responsibilities of team members.
  1. Persuades others to accept personal transformation.
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. Facilitates good rapport between team members.
  1. Carries his/her share of the workload
  1. Willingly share their technical expertise
  1. Fosters an environment that promotes active listening on the team.
  1. Helps the team make effective business decisions by ensuring the correctness of Company's reports/resources.
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. Reinforces the strategic messaging in various teams, meetings, seminars and workshops.
  1. Understands the importance of developing strategic capabilities.
  1. Gives adequate consideration to the time and resources available.
  1. Strategically focuses efforts to improve operational efficiencies.
  1. Monitors company performance and makes adjustments to the strategic plan as needed.
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. Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
  1. Develops budgets and plans for various programs and initiatives.
  1. Provides budgeting and accounting support to the Company.
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.