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Emotional Intelligence - 360 Degree Feedback Survey Sample #5





360-Degree Assessment Survey

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)
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.

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 by .

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
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to control their own emotions.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.
  1. Accurately perceives the emotional reactions of others.


Customer Focus

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Treats customers with courtesy and respect.
  1. ...friendliness and courtesy
  1. Satisfies customer needs.
  1. Interacts with customers to define roles, expectations, and responsibilities.
  1. Is competent in handling customer cases.


Partnering/Networking

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops key business relationships with clients/customers.
  1. Shares resources, technology, facilities, or intellectual property to benefit both partners.
  1. Promotes a culture of open collaboration, offering ample opportunities and incentives for knowledge sharing and mutual learning.
  1. Contacts possible partners to seek new opportunities.
  1. Forms alliances with complementary organizations to promote business operations.


Strategic Insight

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Maintains knowledge of current trends in the industry.
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Analyzes unique issues or problems impacting the Company.
  1. Understands how to strategically grow the business and increase customers.
  1. Adjusts strategic plans based on insights gathered from different points of view.


Organizational Fluency

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Anticipates problems that may affect the department.
  1. Able to use corporate politics to advance department objectives.
  1. Understands the current organizational culture.
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Understands departmental policies and procedures.


Fiscal Management

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops budgets and plans for various programs and initiatives.
  1. Provides budgeting and accounting support to the Company.
  1. Keeps excellent records for financial transparency.
  1. Develops of the department's annual budget.
  1. Monitors expenses and verifies the need for items purchased.


Global Perspective

Role
Model
Capable and
Effective
Somewhat
Effective
Needs
Development
  1. Develops both the cultural awareness and business skills to grow our business in all countries, and work effectively across borders with employees, customers, and shareowners.
  1. Cooperates with others on a global scale.
  1. Respects individual differences.
  1. Communicates effectively on a multi-lingual basis.
  1. Excellent communication skills to conduct effective business with individuals from different cultures and/or countries.



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






  2. Strengths


  3. Areas for Development


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