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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Please ensure that your submission is made by .

Thank you for your participation in the survey.

Management Team

Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Exhibits a positive attitude even when dealing with difficult customers.
Addresses customer complaints immediately.
Makes sure team members understand the issues faced by the customer.
Responsive to customer needs.
Uses customer feedback to help improve products and services.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains infrastructure to support partnerships and networks.
Seeks an understanding of diverse functions within the Company.
Creates the conditions for partnerships to grow and develop.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Promotes the understanding of how the department affects the organization overall.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Formulates policies and strategies for addressing the Company's important challenges.
Implements long-term solutions to problems.
Identifies potential problems before they become critical incidents.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Understands departmental policies and procedures.
Able to explain departmental policies and procedures to others.
Able to use corporate politics to advance department objectives.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures others follow the correct rules and regulations on fiscal matters.
Monitors spending.
Develops budgets and plans for various programs and initiatives.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Understands global systems such as the global economy.
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.
Understands how cultures differ and how these differences impact work behavior.
Works well with others from different cultural backgrounds.
Is able to work with individuals having different backgrounds and cultures.

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.