Emotional Intelligence - 360 Degree Feedback Survey Sample #2

Instructions

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 and the goals they were asked to achieve. 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 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.

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

Emotional Intelligence	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Accurately perceives the emotional reactions of others.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
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.
What are your suggestions for how can make improvements in Emotional Intelligence?
Project Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Maintains costs and expenses within budget limits.
Inspires others to accomplish goals and objectives.
Anticipates potential problems and institutes controls and contingency plans to address them.
Develops performance measures for various aspects of the project.
Able to adjust project schedule as needed to accommodate unforeseen issues.
What are your suggestions for how can make improvements in Project Management?
Creativity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Creates a lot of new ideas.
Develops solutions to challenging problems.
Conceives, implements and evaluates ideas.
Is creative and inspirational.
Is creative.
What are your suggestions for how can make improvements in Creativity?
Self Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Steps away from a situation to process appropriate response.
Does not allow own emotions to interfere with the performance of others.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
What are your suggestions for how can make improvements in Self Management?
Technical	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Uses expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Is knowledgeable of procedures or systems necessary for the job.
Demonstrates mastery of the technical competencies required in his/her work.
Seeks information from others as needed.
What are your suggestions for how can make improvements in Technical?
Clarity	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Communicates ideas and facts clearly and effectively in writing.
Avoids creating ambiguity or mixed messages.
Clarifies problems and their causes to help employees correct them.
Makes sure goals and objectives are clearly and thoroughly explained and understood.
Maintains clarity in goals and objectives.
What are your suggestions for how can make improvements in Clarity?
Customer Focus	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
Consistently models positive customer service attitudes.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Develops strong customer relationships.
What are your suggestions for how can make improvements in Customer Focus?
Conflict Management	Clear Strength	Capable and Effective	Could Benefit from Development	Needs Significant Improvement
Assists team members by helping them see the other point of view.
Helps employees to think through alternative ways to resolve conflict situations.
Discusses conflict situations with supervisor.
Deals effectively with employee grievances.
Tries to understand others' point of view before making judgments
What are your suggestions for how can make improvements in Conflict Management?

41. Strengths
    
    
    
42. Areas for Development
    
    
    
43. Please give any final comments or suggestions for 's assessment.