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
Accurately perceives the emotional reactions of others.
Is able to manage their own emotions.
Able to understand others' points of view.
Is attentive to emotional cues and interprets others' feelings correctly.
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
Manages work time and family life to bring both into balance.
Is productive for the majority of time spent during the day.
Uses scripts or software tools to automate computer centered processes.
Allocates full attention to completing critical tasks.
Processes items in the inbox instead of letting them accumulate.
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
Develops a confidential reporting system to enable employees to anonymously report safety violations.
Ensures the company meets legal requirements/standards regarding employees.
Reviews operations and work flows to ensure compliance with standards.
Keeps track of changes in legislation affecting regulatory compliance.
Implements regulatory compliance strategies.
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
Builds and maintains the trust of others.
Seeks to mitigate grievances by clarifying intentions and finding suitable remedies.
Is trustworthy; is someone I can trust.
Demonstrates congruence between statements and actions.
Is a person you can trust.
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
Converses with customers and clients to get a better insight into their personal needs.
Observes employees at work to get better insight into the issues they are dealing with.
Recognizes the needs of customers.
Attends industry conferences to gain further insight into how other companies deal with similar issues.
Creates a vision for the organization based on insights gathered from other companies in the industry.
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.
Monitors expenses and verifies the need for items purchased.
Keeps excellent records for financial transparency.
Ensures others follow the correct rules and regulations on fiscal matters.
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
Adjusts and rearranges the schedule to maximize efficiency.
Conducts regular assessments of the project status to ensure adherence to the set schedule.
Open to input from others into the plan for the project.
Able to stay organized and focused using excellent planning skills.
Prioritizes plans based on a cost/benefit analysis.
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.