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 able to control their own emotions.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Attends to the customer's needs in addition to the specific needs of the project.
Delivers customized solutions for each customer.
Is aware of what the customer wants to receive.
Prioritizes customer issues based on urgency.
Identifies the core needs of the customer.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Uses informal networks to share information.
Seeks to reduce institutional roadblocks to information sharing.
Communicates with others in an open manner.
Ensures that lessons learned from the partnership are disseminated and built upon.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Works with others to develop insights into the resources and actions required to produce desired results.
Ensures that the department's goals are strategically aligned with the company's goals.
Recognizes the needs of customers.
Develops a strategic vision for the future.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Adept at navigating within the culture of the department.
Understands departmental policies and procedures.
Anticipates problems that may affect the department.
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effective in using Company's resources.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Forms strong client relationships with international partners.
Exemplifies the skills of a global worker.
Attends training seminars and conferences to increase skills in working with others globally.
Applies knowledge of overseas markets.
Is aware of the culture, behaviors, identities and beliefs of others.

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.