Emotional Intelligence - 360 Degree Feedback Survey Sample #7

360 Feedback Survey

Instructions

We are requesting your participation in a 360-degree feedback review of several participants in our company's Leadership Development program. We are 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 this manager'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.

You will get the chance to evaluate this manager's performance in different areas and share your thoughts through written comments for more detailed feedback. Ensure that your feedback is constructive and helpful.

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 .

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Emotional Intelligence	Needs Improvement		Fully Proficient		Excels/ Role Model	Not Applicable
Is attentive to emotional cues and interprets others' feelings correctly.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Accurately perceives the emotional reactions of others.
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
Organizes work responsibilities for maximum efficiency.
Diligently records billable hours.
Sets a good balance between work and family life.
Is always on time for meetings.
Effectively uses subordinates to help get more work done by the department.
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
Complies with regulatory requirements for the state.
Periodically assesses the effectiveness of regulatory/compliance programs.
Implements regulatory changes in a timely manner.
Conducts periodic audits of reporting systems to identify discrepancies and improve data integrity.
Creates and implements training courses for new hires to ensure knowledge of regulations and policies.
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
Delivers on promises made.
Communicates an understanding of the other person's interests, needs and concerns.
Takes ownership, delivers on commitments
Works in a way that makes others want to work with her/him.
Builds and maintains the trust of others.
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
Translates complex industry trends into actionable strategies for the team/department.
Leverages internal expertise and external partnerships to expand strategic capabilities.
Anticipates business cycles and trends and makes adjustments in a timely manner.
Develops a strategic vision for the future.
Recognizes unspoken concerns or morale issues through body language, tone, and team interactions.
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
Effectively manages appropriations, reporting, purchases, expenditures, payrolls, and staff.
Develops of the department's annual budget.
Develops budgets and plans for various programs and initiatives.
Provides budgeting and accounting support to the Company.
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
Determines the appropriate actions needed to achieve goals.
Assesses the potential impact of changes to the strategic plan.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Prioritizes tasks and allocates resources.
Effectively uses logistics planning to reduce supply delays.
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.