Emotional Intelligence - 360 Degree Feedback Survey Sample #1

Instructions:

The 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.

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 and . 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
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
If 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
Is ready to offer help
Keep staff informed about what is happening in the company
Takes responsibility for things that go wrong
Makes you feel enthusiastic about your work
Sets an example for others to follow
If 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
Makes effective decisions, even when under pressure.
Gets the job done.
Effectively makes decisions
Works quickly when faced with difficult problems.
Does whatever it takes (within reason) to get the job done.
If 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
Builds on their strengths while addressing their weaknesses.
Sets relevant learning objectives and goals.
Shares best practices with others and learns from others.
Pursues self-improvement through continual learning.
Grasps new ideas, concepts, technical, or business knowledge.
If 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
Integrates developing others with driving sales, serving customers, merchandising, performing operational procedures, and maintaining an appealing store environment.
Maintains self-confidence and a positive mental attitude while facing challenging peaks and valleys of activities.
Observes, analyzes, and responds to merchandise needs while serving customers and accomplishing operational tasks.
Plans and organizes continuously while performing all other responsibilities and activities.
Can multi-task while performing all of their other responsibilities and activities.
If 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
Maximizes the use of new technology to deliver products and services.
Proficient in the use of technical systems and processes.
Supports employee training and development initiatives regarding implementation of technology.
Identifies gaps between actual and needed technical competencies and provides recommendations for required training.
Understands and is committed to implementing new technologies.
If 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
Behavior is ethical and honest.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Sets a good example.
Sets high personal standards of performance.
If 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
Identifies and takes steps to prevent potential confrontations.
Deals effectively with employee grievances.
Assists team members by helping them see the other point of view.
Tries to understand others' point of view before making judgments
Helps employees to think through alternative ways to resolve conflict situations.
If 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
Relates to all kinds of people tactfully
Is open to new ideas that may change own goals for benefit of the team
Demonstrates compassion and respect for others through actions; is concerned about their work and non-work issues
Act as an effective team player
Communicates well with team members.
If 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
Focuses attention on treating the causes of problems rather than simply addressing the symptoms.
Looks for opportunities to enhance contributions to the bottom line.
Able to decline a poor strategy by proposing alternate strategies.
Communicates goals and objectives to employees.
Creates plans to develop and promote organizational and area strengths, as well as to address weaknesses.
If 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
Develops budgets and plans for various programs and initiatives.
Monitors expenses and verifies the need for items purchased.
Provides budgeting and accounting support to the Company.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Ensures others follow the correct rules and regulations on fiscal matters.
If were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?

56. What are 's greatest strengths demonstrated this year?
    
    
    
57. What are 's areas for development?
    
    
    
58. Please give any final comments or suggestions for 's assessment.