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 manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
Able to understand others' points of view.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps guide employees with prioritizing tasks.
Maintains self-control when personally criticized.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Sets appropriate goals for employees.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Deals with difficult situations calmly and confidently.
Communications with department leadership
Has the confidence to communicate effectively to all levels (from CEO down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Able to demonstrate persuasiveness in pursuit of objectives.
Delivers well-prepared, informed, poised and succinct presentations.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes ownership of mistakes and learns from them.
Defines roles, rights, and responsibilities of the team.
Takes responsibility for results.
Defines roles, rights, and responsibilities of employees.
Acts like an owner when they make decisions.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts responsibility for mistakes.
Protects the integrity and confidentiality of information
Maintains strong relationships with others.
Does what was promised.
Demonstrates honesty and truthfulness at all times.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Assesses the risks, benefits, and potential impact of a number of options when deciding a course of action
Does not lose sight of the big picture when making decisions
Seeks input from key people who should be involved in, or will be affected by, decisions
Asks for additional information when making critical decisions.
Exercises good judgment by making sound and informed decisions.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Set high standards in their performance
Completes work to given time frame and to budget
Accepts setbacks and challenges as improvement opportunities
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Commits adequate resources toward safety measures.
Is aware of OSHA safety guidelines.
Mitigates hazards and safety issues that arise.
Encourages others to attend safety training.
Works to implement corrective safety measures.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Sets a good example.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively with people from other departments.
Supports the efforts of other employees in implementing solutions to problems.
...treats others with respect and dignity.
Is able to see issues from others' perspectives.
Works across boundaries within the organization.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements long-term solutions to problems.
Maintains knowledge of current trends in the industry.
Identifies potential problems before they become critical incidents.
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies root causes of problems.

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.