Emotional Intelligence - 360 Degree Feedback Survey Sample #4

Dear Employee:


Welcome to the Employee Survey. Our objective is to understand and express the values which will ensure is an exceptional place to work. We are asking you to take time to respond to this survey to help us identify where we are doing well and where we have opportunities to do better.

We have developed this survey with questions tailored for our staff and business to provide you with an opportunity to anonymously rate many facets of the business. The survey will assess what you value most in your employment and allow you to make positive suggestions for improvement.

Please be honest, constructive and thoughtful in your responses. The results of this survey will be used to help drive our future success. If you have any questions about the process please contact [Contact Person].

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

Instructions:
Please complete the items below and press the submit button at the end of the survey. If you need multiple sessions to complete the survey, please click the "Submit" button at the end of each session to save your responses. Please feel free to skip any items that you do not wish to respond to. Keep in mind that your responses help us to become a better place to work. So, you are encouraged to respond to all items on the questionnaire.

---

Emotional Intelligence	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is able to manage their own emotions.
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Performance	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Has great overall performance
Effective in performing his/her job.
...Produce Quality
Works effectively in the department.
Sets a high standard for job performance.
Adaptability	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Works effectively in dynamic and changing work environments.
Willing to change ideas or perceptions based on new information or contrary evidence which is presented.
Learns from personal experiences and/or mistakes.
Able to quickly learn new ways of performing their job.
Is proactive and takes steps to prepare for changes in the workplace.
Bias for Action	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Completes work on time
Motivates others to achieve or exceed goals
Seeks and utilizes opportunities for continuous learning and self-development.
Problem Solving	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Is a good problem solver and decision maker
Ability to develop innovative solutions to problems.
Identifies and assesses all potential responses to a problem.
Solves problems using logic and insight.
Effective in solving problems.
Initiative	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Prepares for unexpected contingencies.
Takes decisive action to address problems, following up with relevant team members and coaching them on how to improve.
Immediately works to complete goals well before their deadline.
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Goes above and beyond the stated goals.
Results Oriented	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Provides clear expectations for employees.
Inspires and motivates co-workers to be productive and energetic at work
Directs team in prioritizing daily work activities
Encourages a high-energy, fun work environment and coaches others on how to do the same
Stays focused on meeting the needs of customers.
Teamwork	Needs Significant Development 1	2	Capable and Effective 3	4	Role Model 5
Facilitates team discussions and problem-solving
Encourages teamwork and collaboration.
Seeks and listens to other's contributions
Comes across as a reliable, committed team member
Identifies and resolves conflicts within the team to increase team effectiveness

41. On a scale of Excellent to Poor, how would you rate your overall employment with [Company] and why?
    

    -Excellent -Good -Average -Poor

    
    

42. Would you refer others who are seeking employment to [Company]?
    Yes No
    
    Please provide explanation:
    
    
    
43. If you had an opportunity to make any change you wanted to make [Company] a better place to work, what one improvement would you make?
    
    
    
    
44. What changes do you see [Company] making in order to raise the standards?
    
    
    
45. I feel good about my continued employment with [Company].
    Yes No
    
    If no, please provide explanation:
    
    
    
    
46. What do you like best about working for [Company]?
    
    
    
47. What do you like least about working for [Company]? How could it be improved?
    
    
93. Use the space below to enter any final comments you would like to be noted: