Emotional Intelligence - 360 Degree Feedback Survey Sample #5

360-Degree Assessment Survey

Dear Employee:

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the Closing Comments section. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

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Thank you for your participation in the survey.

Management Team

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Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates resources needed to meet the customer needs.
Delivers on commitments made to customers.
Promotes, implements, maintains and enhances relationships with customers.
Makes customers feel valued by acknowledging their concerns and validating their experiences.
Follows up with any unanswered questions from the customer.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops trust in others to form partnerships and networks.
Seeks to increase exchanges of information with other companies/colleagues.
Develops internal alliances with others in the department.
Proactively addresses potential conflicts by identifying and resolving problems swiftly.
Understands the potential risks/rewards of the partnership.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Recognizes the needs of customers.
Recognizes when strategic plans are no longer relevant due to environmental or organizational changes.
Pursues strategic alliances with valued partners.
Develops a plan and strategy for each functional area within the mission statement.
Adjusts strategic plans based on insights gathered from different points of view.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adept at navigating within the culture of the department.
Able to explain departmental policies and procedures to others.
Effective in communicating with others within the organization.
Understands the current organizational culture.
Understands departmental policies and procedures.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Develops budgets and plans for various programs and initiatives.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Ensures others follow the correct rules and regulations on fiscal matters.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exemplifies the skills of a global worker.
Engages in problem solving with individuals outside of the country.
Demonstrates a curiosity about diverse individuals and cultures.
Volunteers for experiences and assignments abroad.
Attends training seminars and conferences to increase skills in working with others globally.

36. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
37. Strengths
    
    
    
38. Areas for Development
    
    
    
39. Please give any final comments or suggestions for [Participant Name Here]'s assessment.