Emotional Intelligence - 360 Degree Feedback Survey Sample #6

360-Degree Assessment Survey

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to express themselves clearly.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Is able to control their own emotions.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
Maintains self-control when personally criticized.
Makes sure that employees understand how their work relates to organizational goals.
Maintains focus when handling several problems or tasks simultaneously.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Transforms complicated ideas into simple ones.
Mentors others on enhancing their written communication.
Makes the complex simple.
Updates others on changes or progress in plans and goals.
Summarizes the question to verify comprehension.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Informs supervisor of progress without having to be asked about it.
Exhibits a sense of ownership of outcomes and results.
Consults with the supervisor before engaging in new procedures that have some risk.
Regularly completes tasks on time.
Can be counted on to do what they say they are going to do.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Protects the integrity and confidentiality of information
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Demonstrates sincerity in actions with others.
Demonstrates honesty and truthfulness at all times.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes creative decisions.
Seeks input from key people who should be involved in, or will be affected by, decisions
Makes decisions independently (without having to be told what or how).
Has a good rapport other people which is helpful in making decisions on the team.
Receptive to new ideas from others when making decisions.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to given time frame and to budget
Establishes stretch goals to advance skills and output.
Takes immediate action of projects that fall behind schedule.
Increased customer satisfaction scores for the quarter.
Uses established goals and performance measures to keep track of performance.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures compliance with safety regulations.
Supports our company's safety programs.
Identifies and addresses safety needs.
Seeks to reduce the likelihood of accidents.
Points out behaviors in others that may be unsafe.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example.
Is a person you can trust.
Holds herself / himself accountable to goals / objectives
Sets high personal standards of performance.
Behavior is ethical and honest.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Is able to see issues from others' perspectives.
Helpful
Works effectively with people from other departments.
Includes others in the decision making processes.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Creates strategies that significantly benefit the Company.
Converses with customers and clients to get a better insight into their personal needs.
Communicates with employees to find out their needs.
Adjusts strategic plans based on insights gathered from different points of view.

56. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
57. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
58. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
59. Additional comments, if any for [Participant Name Here]'s assessment.