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.

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

Edit this Survey

Would you like to edit this survey? Click here to begin.

Emotional Intelligence	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to understand others' points of view.
Is able to control 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 manage their own emotions.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Helps customers to feel satisfied with our work/services.
Responds to the needs of the customer.
Considers customers point of view when making decisions.
Understands what resources are needed to meet customer needs.
Acts with integrity in all customer interactions.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Nurtures a collaborative and inclusive environment that encourages knowledge sharing and continuous learning.
Develops alliances with colleagues at other companies.
Seeks to increase exchanges of information with other companies/colleagues.
Networks with clients to determine improvements in operations.
Seeks opportunities to meet with others.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Creates values statement to ensure all employees are working under the same guiding principles.
Pursues strategic alliances with valued partners.
Implements long-term solutions to problems.
Maintains knowledge of current trends in the industry.
Strategically aligns projects to the goals of the company.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to explain departmental policies and procedures to others.
Adept at navigating within the culture of the department.
Able to deal with sensitive issues with tact and professionalism.
Understands the current organizational culture.
Understands departmental policies and procedures.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Keeps excellent records for financial transparency.
Monitors expenses and verifies the need for items purchased.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Provides budgeting and accounting support to the Company.
Develops of the department's annual budget.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to listen and understand others and discuss issues in a respectful way.
Aligns personal vision with global strategies.
Able to work with others from different cultures and countries.
Understands and appreciates the perspectives offered by others with different cultural backgrounds.
Considers customers point of view when making decisions.

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.