HR-Survey > 360-Degree Feedback > Competency Model

Emotional Intelligence - 360 Degree Feedback Survey Sample #6





360-Degree Assessment Survey

Questionnaires Measuring Emotional Intelligence:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
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.

Sample Result Document in PDF format:
360-Feedback Results (pdf)
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
  1. Is able to express themselves clearly.
  1. Is able to manage their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to control their own emotions.
  1. 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
  1. Sets appropriate goals for employees.
  1. Helps guide employees with prioritizing tasks.
  1. Maintains self-control when personally criticized.
  1. Makes sure that employees understand how their work relates to organizational goals.
  1. Maintains focus when handling several problems or tasks simultaneously.


Communication Skills

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Transforms complicated ideas into simple ones.
  1. Mentors others on enhancing their written communication.
  1. Makes the complex simple.
  1. Updates others on changes or progress in plans and goals.
  1. Summarizes the question to verify comprehension.


Accountability

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Informs supervisor of progress without having to be asked about it.
  1. Exhibits a sense of ownership of outcomes and results.
  1. Consults with the supervisor before engaging in new procedures that have some risk.
  1. Regularly completes tasks on time.
  1. 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
  1. Protects the integrity and confidentiality of information
  1. Accepts responsibility for mistakes.
  1. Establishes relationships of trust, honesty, fairness, and integrity.
  1. Demonstrates sincerity in actions with others.
  1. Demonstrates honesty and truthfulness at all times.


Decision Making

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Makes creative decisions.
  1. Seeks input from key people who should be involved in, or will be affected by, decisions
  1. Makes decisions independently (without having to be told what or how).
  1. Has a good rapport other people which is helpful in making decisions on the team.
  1. Receptive to new ideas from others when making decisions.


Achievement

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Completes work to given time frame and to budget
  1. Establishes stretch goals to advance skills and output.
  1. Takes immediate action of projects that fall behind schedule.
  1. Increased customer satisfaction scores for the quarter.
  1. Uses established goals and performance measures to keep track of performance.


Safety

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Ensures compliance with safety regulations.
  1. Supports our company's safety programs.
  1. Identifies and addresses safety needs.
  1. Seeks to reduce the likelihood of accidents.
  1. Points out behaviors in others that may be unsafe.


Responsible

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Sets a good example.
  1. Is a person you can trust.
  1. Holds herself / himself accountable to goals / objectives
  1. Sets high personal standards of performance.
  1. Behavior is ethical and honest.


Others

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Treats others with respect and dignity.
  1. Is able to see issues from others' perspectives.
  1. Helpful
  1. Works effectively with people from other departments.
  1. Includes others in the decision making processes.


Strategic Insight

Needs
Significant
Improvement
Could benefit
from
Development
Capable
and
Effective
Role
Model
  1. Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
  1. Creates strategies that significantly benefit the Company.
  1. Converses with customers and clients to get a better insight into their personal needs.
  1. Communicates with employees to find out their needs.
  1. Adjusts strategic plans based on insights gathered from different points of view.



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






  2. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.


  3. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.


  4. Additional comments, if any for [Participant Name Here]'s assessment.