Emotional Intelligence - 360 Degree Feedback Survey Sample #8

Instructions

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 six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.



Please complete your response by .

Emotional Intelligence	Agree	Unsure	Disagree	N/A
Accurately perceives the emotional reactions of others.
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 control their own emotions.
Continual Improvement	Agree	Unsure	Disagree	N/A
Looks for ways to improve work processes and procedures.
Analyzes processes to determine areas for improvement.
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand and learn new job skills.
Looks for ways to expand current job responsibilities.
Innovation	Agree	Unsure	Disagree	N/A
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
Finds creative ways to get things done with limited resources.
Fosters a creative and innovative work environment.
Creates a safe environment for idea-sharing.
Achievement	Agree	Unsure	Disagree	N/A
Improved the quality of work on the production line.
Establishes stretch goals to advance skills and output.
Is determined to complete tasks regardless of obstacles that may occur.
Highly motivated to achieve or exceed performance standards.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Project Management	Agree	Unsure	Disagree	N/A
Maintains costs and expenses within budget limits.
Correctly estimates the cost of supplies for the project.
Documents the risk assessments for different parts of the project.
Identifies potential risks that could pose challenges to the project timeline.
Communicates with all employees involved on the project.
Excellence	Agree	Unsure	Disagree	N/A
Is planful and organized.
Produces high quality work.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Client Focus	Agree	Unsure	Disagree	N/A
Is competent in handling client cases.
Persistent in solving client issues.
Is available to respond to client needs.
Effectively troubleshoots client issues.
Uses feedback from clients to help improve services.
Negotiation	Agree	Unsure	Disagree	N/A
Establishes clear communications to avoid misunderstandings.
Able to control their emotional responses and correctly gauge the emotions of others.
Leverages relationships with others to achieve goals.
Establishes good working relationships with others.
Understands the expectations of other parties in the negotiation.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Adept at navigating within the culture of the department.
Gets things done through the department.
Able to deal with sensitive issues with tact and professionalism.
Able to use corporate politics to advance department objectives.
Anticipates problems that may affect the department.

46. Overall, please rate the effectiveness of [Participant Name Here].
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
47. Strengths
    
    
    
48. Areas for Development
    
    
    
49. Please give any final comments or suggestions for [Participant Name Here]'s assessment.