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.
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Is able to manage their own emotions.
Is attentive to emotional cues and interprets others' feelings correctly.
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
Allocates full attention to completing critical tasks.
Rarely misses deadlines; often producing results before expected.
Encourages colleagues to spend more time on work related activities.
Organizes work responsibilities for maximum efficiency.
Reacts promptly to inquiries from customers/clients.
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
Familiar with EEOC, FLSA, OSHA and ERISA acts/standards.
Performs regular compliance audits.
Maintains a state of readiness to address new and changing regulations and procedures.
Complies with regulatory requirements for the state.
Offers training on various subjects to help ensure employees are aware of 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 care to maintain confidential information.
Demonstrates congruence between statements and actions.
Delivers on promises made.
Works in a way that makes others want to work with her/him.
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 a vision for the organization based on insights gathered from other companies in the industry.
Communicates with employees to find out their needs.
Adjusts strategic plans based on insights gathered from different points of view.
Formulates policies and strategies for addressing the Company's important challenges.
Works with others to develop insights into the resources and actions required to produce desired results.
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
Provides budgeting and accounting support to the Company.
Develops of the department's annual budget.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Monitors spending.
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
Develops plans used to accomplish urgent or critical tasks.
Closely follows the plan established for the department.
Notifies staff when the plan is not on schedule.
Divides complex tasks into smaller steps to measure progress toward a goal.
Creates effective project plans.
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.