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
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
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
Uses a calendar effectively to keep track of when events or milestones are supposed to occur.
Organizes work responsibilities for maximum efficiency.
Makes time for developing plans and schedules.
Gets a high volume of work done to avoid missing deadlines.
Prioritizes major tasks over smaller ones.
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
Follows all safety regulations and procedures.
Performs audits regularly, or without notice, to ensure proper compliance with regulations.
Develops and implements appropriate reporting channels.
Maintains a state of readiness to address new and changing regulations and procedures.
Explains regulations and procedures to others as required.
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
Communicates an understanding of the other person's interests, needs and concerns.
Builds and maintains the trust of others.
Consistently keeps commitments.
Works in a way that makes others want to work with her/him.
Demonstrates congruence between statements and actions.
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.
Creates a vision for the organization based on insights gathered from other companies in the industry.
Creates a mission statement describing the purpose for the organization.
Observes employees at work to get better insight into the issues they are dealing with.
Understands how to strategically grow the business and increase customers.
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
Monitors spending.
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Keeps excellent records for financial transparency.
Effective in using Company's resources.
Develops budgets and plans for various programs and initiatives.
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
Anticipates obstacles and ways to overcome them.
Has developed an effective strategic plan.
Creates to-do lists to make sure nothing is missed.
Able to balance the needs of multiple stakeholders in developing the plan for the division.
Able to develop logistics plans to move material through a multi-step supply chain.
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.