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Emotional Intelligence - 360 Degree Feedback Survey Sample #2





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

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.

Competencies Included:
Emotional Intelligence, Project Management, Creativity, Self Management, Technical, Clarity, Customer Focus, Conflict Management
Sample Result Document:
Sample Results
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 . The survey will only be available during these dates.
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Emotional Intelligence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Accurately perceives the emotional reactions of others.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Able to understand others' points of view.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to control their own emotions.
What are your suggestions for how [Participant Name] can make improvements
in Emotional Intelligence?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Interacts with stakeholders regarding the outcomes required by the project.
  1. Creates a schedule for the different phases of the project.
  1. Communicates with all employees involved on the project.
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
  1. Makes sure all team members understand their roles.
What are your suggestions for how [Participant Name] can make improvements
in Project Management?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Inspires creativity in their team.
  1. Is creative and inspirational.
  1. Develops solutions to challenging problems.
  1. Conceives, implements and evaluates ideas.
  1. Adds value to the department/organization.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Steps away from a situation to process appropriate response.
  1. Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Uses patience and self-control in working with customers and associates.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares information and expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Knows how to produce high quality products/work.
  1. Seeks information from others as needed.
  1. Demonstrates mastery of the technical competencies required in his/her work.
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates with clarity and efficiency.
  1. Uses appropriate grammar and tense in communications.
  1. Clearly defines work objectives for employees.
  1. Writes clear job descriptions for positions in the organization.
  1. Communicates ideas and facts clearly and effectively in writing.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Takes the initiative in solving difficult customer issues.
  1. Ensures all customer commitments and requirements are met or exceeded.
  1. Delivers on commitments made to customers.
  1. Consistently meets customer's needs.
  1. Treats customers with courtesy and respect.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Guides others toward establishing strong relationships.
  1. Helps others to see perceptions that they have about an issue.
  1. Actively engages both parties to voluntarily collaborate and resolve their differences.
  1. Seeks to have both sides voluntarily work together to resolve their differences.
  1. Values the diverse perspectives of others.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?


  1. Strengths


  2. Areas for Development


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