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 express themselves clearly.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Is attentive to emotional cues and interprets others' feelings correctly.
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
Creates new and innovative products for customers.
Consistently meets customer's needs.
...friendliness and courtesy
Creates an environment that enables customers to receive excellent service.
Is aware of the customer's needs.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Promotes the understanding of how the department affects the organization overall.
Creates value within the Company by building networks.
Partners with peers to obtain influence within the Company.
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Maintains infrastructure to support partnerships and networks.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies potential problems before they become critical incidents.
Creates strategies that significantly benefit the Company.
Meets with customers to gain insight into their core needs and how best to serve them.
Understands how to strategically grow the business and increase customers.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Able to use corporate politics to advance department objectives.
Understands the current organizational culture.
Able to explain departmental policies and procedures to others.
Understands departmental policies and procedures.
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.
Provides budgeting and accounting support to the Company.
Develops budgets and plans for various programs and initiatives.
Develops of the department's annual budget.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Cooperates with others on a global scale.
Volunteers for experiences and assignments abroad.
Able to listen and understand others and discuss issues in a respectful way.
Creates an environment where individual differences are valued and supported.
Demonstrates working knowledge of global transactions.

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.