Emotional Intelligence - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

is administering a new web-based survey tool which is designed to gather broad feedback as it relates to core competencies and role responsibilities that are important for the on-going success of our organization. The Leadership Team Members have agreed to participate and are seeking your feedback.

In this regard, you have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool 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 assessment form, please think about your experiences working with this individual during the last twelve (12) months. Your responses will be merged with other people's feedback and presented to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager, unless you indicate otherwise.

You are only being asked to rate 8 competencies. Each competency will have a variety of statements that are grouped by 4 Performance Levels. Click on the level that best describes this individual.

Please ensure that your submission is made between .

Emotional Intelligence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
Able to understand others' points of view.
Is able to control their own emotions.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?
Time Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Sets a good balance between work and family life.
Completes high-priority work within required timelines.
Focuses on tasks that have high priority.
Prioritizes tasks to identify immediate and long-term objectives.
Completes tasks ahead of schedule.
If [Participant Name] were to make improvements in Time Management, what are your suggestions for how he/she can improve this?
Regulatory/Compliance	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is aware of the documents and reports needed to maintain compliance with regulations.
Keeps up-to-date with legislation affecting employees.
Implements regulatory changes in a timely manner.
Creates and maintains necessary regulatory documentation.
Creates documents and reports as needed to maintain compliance with regulations.
If [Participant Name] were to make improvements in Regulatory/Compliance, what are your suggestions for how he/she can improve this?
Trustworthy	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Takes ownership, delivers on commitments
Demonstrates a sense of responsibility and commitment to public trust.
Communicates an understanding of the other person's interests, needs and concerns.
Takes care to maintain confidential information.
Consistently keeps commitments.
If [Participant Name] were to make improvements in Trustworthy, what are your suggestions for how he/she can improve this?
Strategic Insight	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Creates strategies that significantly benefit the Company.
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies potential problems before they become critical incidents.
Understands the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
Analyzes unique issues or problems impacting the Company.
If [Participant Name] were to make improvements in Strategic Insight, what are your suggestions for how he/she can improve this?
Fiscal Management	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Develops budgets and plans for various programs and initiatives.
Monitors spending.
Keeps excellent records for financial transparency.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Ensures others follow the correct rules and regulations on fiscal matters.
If [Participant Name] were to make improvements in Fiscal Management, what are your suggestions for how he/she can improve this?
Planning	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Purchases equipment and software that will be needed in the future.
Efficiently manages deadlines.
Initiates the planning process by defining the scope of the project.
Reduces uncertainty in the department through clear planning and schedules.
Has plans to handle unexpected events.
If [Participant Name] were to make improvements in Planning, what are your suggestions for how he/she can improve this?

36. Strengths
    
    
    
37. Areas for Development
    
    
    
38. Please give any final comments or suggestions for [Participant Name Here]'s assessment.