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
Accurately perceives the emotional reactions of others.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Is able to control their own emotions.
Is able to express themselves clearly.
Is attentive to emotional cues and interprets others' feelings correctly.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps guide employees with prioritizing tasks.
Functions well under stress, deadlines, and/or significant workloads.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Maintains focus when handling several problems or tasks simultaneously.
Communication Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Delivers influential presentations.
Maintains eye contact to foster direct communication.
Summarizes or paraphrases the current question to confirm understanding.
Willing to accept feedback from others.
Discusses ideas and concepts with peers.
Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear reasons for underperformance.
Is prepared and on time for meetings and scheduled events.
Lets supervisor know of any setbacks to the progress on achieving goals.
Reviews performance to determine areas for improvement.
Takes responsibility for errors and actively works to correct them.
Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Follows tasks to completion.
Protects the integrity and confidentiality of information
Develops trust and confidence from others.
Fosters an environment built upon trust.
Does what was promised.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Learns from previous bad decisions and rarely repeats them.
Recognizes and generates innovative solutions.
Receptive to new ideas from others when making decisions.
Has a good rapport other people which is helpful in making decisions on the team.
Makes decisions that support the department's goals and objectives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is flexible in adjusting priorities to meet the demands of changing situations.
Is determined to complete tasks regardless of obstacles that may occur.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Completed required training and certification.
Inspires others to work with a sense of urgency.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Committed to safety in the workplace.
Participates in safety training as applicable.
Participates in safety training when offered.
Ensures that all supervisors are aware of regulatory and compliance measures.
Develops safety guidelines for the department.
Responsible	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes assigned work tasks.
...takes personal responsibility for results.
Sets high personal standards of performance.
Responsible for setting the vision of the department.
Acts as a resource without removing individual responsibility.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is able to see issues from others' perspectives.
Works effectively with people from other departments.
Helpful
Treats others with respect and dignity.
Consistently demonstrates ability and willingness to trust others.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Lets employees know how their roles contribute toward the achievement of strategic company objectives.
Understands how to strategically grow the business and increase customers.
Develops a plan and strategy for each functional area within the mission statement.
Adjusts strategic plans based on insights gathered from different points of view.

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.