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 able to manage their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Accurately perceives the emotional reactions of others.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Excellent at managing time.
Stays focused even when under pressure and stress.
Makes sure that employees understand how their work relates to organizational goals.
Helps guide employees with prioritizing tasks.
Sets appropriate goals for employees.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches others and provides feedback on the use of different oral communication styles for different audiences
Verifies understanding throughout discussions.
Prepares and delivers presentations.
Visible and approachable; is there when you need them.
Keeps the supervisor informed about achievements and milestones.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts personal responsibility for producing high quality and timely work.
Continues to work diligently on a problem despite setbacks.
Ensures that employees are compensated fairly and in accordance with established policies.
Works hard to ensure the success of the department.
Projects an image of transparency and trustworthiness in the administration of fair and equitable policies.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Maintains strong relationships with others.
Protects the integrity and confidentiality of information
Fosters a high standard of ethics and integrity.
Does what was promised.
Fosters an environment built upon trust.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to consider information from other sources.
Recognizes and generates innovative solutions.
Is creative about the decisions they make.
Views the issues from multiple perspectives before making a decision.
Examines relevant factors needed to make a decision.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows-up and takes action when goals are not met to ensure better results in the future.
Helps others to improve or meet standards of performance.
Completes work promptly and efficiently.
Takes calculated risks to achieve difficult goals.
Met required benchmarks for the position.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of OSHA safety guidelines.
Encourages others to attend safety training.
Commits adequate resources toward safety measures.
Creates accurate and effective measures of safety.
Seeks to reduce the likelihood of accidents.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets a good example.
Acts as a resource without removing individual responsibility.
Behavior is ethical and honest.
Completes assigned work tasks.
Is a person you can trust.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to see issues from others' perspectives.
...treats others with respect and dignity.
Helpful
Supports the efforts of other employees in implementing solutions to problems.
Treats others with respect and dignity.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Creates strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.
Implements long-term solutions to problems.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Formulates policies and strategies for addressing the Company's important challenges.

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.