Emotional Intelligence - 360 Degree Feedback Survey Sample #6

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 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 and . 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
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Accurately perceives the emotional reactions of others.
Is able to control their own emotions.
Is able to manage their own emotions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Aligns the department's goals with the goals of the organization.
Helps guide employees with prioritizing tasks.
Maintains self-control when personally criticized.
Excellent at managing time.
Sets appropriate goals for employees.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
An effective listener who is responsive to information needs.
Is an effective communicator
Deals with difficult situations calmly and confidently.
Able to demonstrate persuasiveness in pursuit of objectives.
Checks for understanding throughout conversations or group presentations/discussions
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates a consistent process for prioritizing work.
Tackles issues head on and finds solutions.
Defines roles, rights, and responsibilities of employees.
Defines roles, rights, and responsibilities of the team.
Implements and facilitates controls and processes that maintain the integrity of the organization.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Fosters a high standard of ethics and integrity.
Does what was promised.
Fosters an environment built upon trust.
Develops trust and confidence from others.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Does not lose sight of the big picture when making decisions
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Asks for additional information when making critical decisions.
Exercises good judgment by making sound and informed decisions.
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts setbacks and challenges as improvement opportunities
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Set high standards in their performance
Systematically works to improve the organization
Follows-up and takes action when goals are not met to ensure better results in the future.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops a sustainable safety culture.
Participates in safety training when available.
Works to implement corrective safety measures.
Ensures that all supervisors are aware of regulatory and compliance measures.
Encourages others to work safely.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Behavior is ethical and honest.
Works in a way that makes others want to work with her/him.
...takes personal responsibility for results.
Sets high personal standards of performance.
Acts as a resource without removing individual responsibility.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively with people from other departments.
Helpful
Respects the opinions of other employees.
Forms working relationships with employees from other departments.
Treats others with respect and dignity.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates vision for the department and company.
Analyzes records and reports to obtain insight into potential issues and trends.
Analyzes unique issues or problems impacting the Company.
Formulates strategies and action plans to ensure successful completion of goals and objectives.
Anticipates business cycles and trends and makes adjustments in a timely manner.

56. Overall, please rate the effectiveness of .
    

    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 's assessment.