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

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Emotional Intelligence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to express themselves clearly.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets the requirements for satisfactory job performance.
Ensures that employees have the tools, training, and support needed to complete the task successfully.
Sets the focus on improving the organization's products and services.
Breaks down larger goals into smaller, manageable milestones to add more structure toward the accomplishment of the goal.
Creates opportunities for peer learning and collaborative problem-solving.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Listens to others' points of view with an open mind
An effective listener who is responsive to information needs.
Maintains a formal and respectful tone, avoiding use of slang or overly casual language.
Ensures comprehension during conversations or group presentations.
Receives and answers questions - on the spot. S/he has a willingness to address the tough questions.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains honesty and transparency in all communications.
Is personally invested in the success of the organization.
Accepts the consequences for their actions.
Makes sure the supervisor is always informed of any important events.
Lets supervisor know of any setbacks to the progress on achieving goals.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is a senior leader with a high degree of integrity to set a good example of a top-down approach to maintaining ethical behavior throughout the organization.
Exhibits kindness and respect towards others without seeking personal gain.
Behaves in a way that is consistent, ethical, and principled.
Actively encourages and recognizes the achievements and efforts of colleagues fostering a supportive and positive work environment.
Displays a high standard of ethics and integrity.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Conducts post-decision reviews to learn from outcomes and improve future evaluations.
Examines relevant factors needed to make a decision.
Adjusts decision criteria as new information emerges, ensuring relevance and feasibility.
Decision making involves careful analysis of the facts and consideration of parameters and constraints.
Is creative about the decisions they make.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Always sets high standards for their work and the work of their colleagues.
Completes work to given time frame and to budget
Demonstrates improvement in performance.
Strives to meet goals and objectives.
Set high standards in their performance
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to work safely.
Develops a sustainable safety culture.
Participates in safety training when available.
Ensures compliance with safety regulations.
Keeps accurate safety records.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example.
Holds herself / himself accountable to goals / objectives
...takes personal responsibility for results.
Sets high personal standards of performance.
Behavior is ethical and honest.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works effectively with people from other departments.
Includes others in the decision making processes.
Works across boundaries within the organization.
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
Anticipates talent needs based on projected business growth and industry developments.
Meets with customers to gain insight into their core needs and how best to serve them.
Keeps abreast of regulatory, technological, and competitive shifts that could impact the organization's strategic direction.
Allocates proper resources for employee training to meet future needs based on insight into employee skill levels.
Observes stakeholder sentiment and engagement levels through direct and indirect feedback channels.

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.