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.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Customer Focus	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Builds products that meet the unique needs of each customer.
Delivers customized solutions for each customer.
Responds to the needs of the customer.
Sets an example for excellent customer relations.
Uses feedback from customers to help improve services.
Partnering/Networking	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Seeks opportunities to meet with others.
Develops a sense of trust in subordinates so they can freely interact and share information with others.
Develops partnerships with other colleagues in the industry.
Establishes regular check-ins to ensure alignment and address any emerging issues.
Utilizes contacts to build and strengthen internal support bases.
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.
Observes employees at work to get better insight into the issues they are dealing with.
Formulates policies and strategies for addressing the Company's important challenges.
Develops a plan and strategy for each functional area within the mission statement.
Adjusts strategic plans based on insights gathered from different points of view.
Organizational Fluency	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Able to explain departmental policies and procedures to others.
Able to deal with sensitive issues with tact and professionalism.
Understands departmental policies and procedures.
Effective in communicating with others within the organization.
Anticipates problems that may affect the department.
Fiscal Management	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Provides budgeting and accounting support to the Company.
Monitors spending.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
Global Perspective	Role Model	Capable and Effective	Somewhat Effective	Needs Development
Can effectively deliver presentations to international clients.
Sets the example for team on importance of cultural awareness.
Analyzes global issues/problems that are having a large impact on the Company.
Creates an environment where individual differences are valued and supported.
Understands how cultures differ and how these differences impact work behavior.

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.