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
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Considers customers point of view when making decisions.
Does not hesitate to address customer concerns or complaints.
Maintains positive customer relationships.
Consistently models positive customer service attitudes.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Maintains infrastructure to support partnerships and networks.
Creates value within the Company by building networks.
Seeks to reduce institutional roadblocks to information sharing.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Analyzes unique issues or problems impacting the Company.
Maintains knowledge of current trends in the industry.
Implements long-term solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies potential problems before they become critical incidents.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates problems that may affect the department.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Effective in communicating with others within the organization.
Able to explain departmental policies and procedures to others.
Gets things done through the department.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps excellent records for financial transparency.
Develops of the department's annual budget.
Provides budgeting and accounting support to the Company.
Effective in using Company's resources.
Ensures others follow the correct rules and regulations on fiscal matters.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to work with others from different cultures and countries.
Builds working relationships with others across cultures.
Can effectively deliver presentations to international clients.
Able to listen and understand others and discuss issues in a respectful way.
Works well with others from different cultural backgrounds.

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.