Emotional Intelligence - 360 Degree Feedback Survey Sample #5

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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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.
Able to understand others' points of view.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Ensures all customer commitments and requirements are met or exceeded.
Does not hesitate to address customer concerns or complaints.
...friendliness and courtesy
Considers customers point of view when making decisions.
Asks questions and listens carefully to determine customer needs and to ensure that the customer's needs are met.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Capitalizes on partnerships and networks to enhance the Company's bottom line.
Maintains infrastructure to support partnerships and networks.
Creates value within the Company by building networks.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Partners with peers to obtain influence within the Company.
Strategic Insight	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Identifies root causes of problems.
Analyzes records and reports to obtain insight into potential issues and trends.
Analyzes unique issues or problems impacting the Company.
Maintains knowledge of current trends in the industry.
Implements long-term solutions to problems.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Anticipates problems that may affect the department.
Gets things done through the department.
Understands the current organizational culture.
Adept at navigating within the culture of the department.
Able to use corporate politics to advance department objectives.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
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
Can effectively deliver presentations to international clients.
Understands how cultures differ and how these differences impact work behavior.
Demonstrates working knowledge of global transactions.
Aligns personal vision with global strategies.
Forms strong client relationships with international partners.

36. Overall, please rate the effectiveness of .
    

    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 's assessment.