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 .

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Emotional Intelligence	Agree	Unsure	Disagree	N/A
Is able to express themselves clearly.
Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
Able to understand others' points of view.
Accurately perceives the emotional reactions of others.
Continual Improvement	Agree	Unsure	Disagree	N/A
Open to the suggestions from others.
Looks for ways to expand current job responsibilities.
Looks for ways to expand and learn new job skills.
Encourages an employee culture of continuous improvement to seek out better ways of doing things.
Analyzes processes to determine areas for improvement.
Innovation	Agree	Unsure	Disagree	N/A
Challenges current procedures / processes to develop new solutions.
Determines how much risk the company is willing to take in implementing innovations to the products and services.
Uses innovation to solve urgent specific problems.
Facilitates networking events or brainstorming sessions where employees can share insights and inspirations.
Creates new and efficient processes.
Achievement	Agree	Unsure	Disagree	N/A
Demonstrates a sense of urgency to quickly and accurately solve problems and issues.
Strives to meet goals and objectives.
Created impactful reports for the re-organization committee.
Strives to exceed standards of performance.
Successfully completed the orientation training program.
Project Management	Agree	Unsure	Disagree	N/A
Anticipates potential problems and institutes controls and contingency plans to address them.
Implements risk mitigation strategies to help move the project to successful completion.
Outlines the key objectives for the project.
Develops action items, workplans, timelines, and criteria for projects.
Develops a plan for resource management.
Excellence	Agree	Unsure	Disagree	N/A
Is planful and organized.
Produces high quality work.
Demonstrates the functional or technical skills necessary to do their job.
Can be counted on to add value wherever they are involved.
Keeps themselves and others focused on constant improvement.
Client Focus	Agree	Unsure	Disagree	N/A
Is competent in handling difficult clients.
Keeps the client informed of all progress.
Forms strong client relationships
Prioritizes client issues to tackle the most pressing needs first.
Ensures clients are comfortable with the services provided.
Negotiation	Agree	Unsure	Disagree	N/A
Maintains control over emotions to ensure a constructive environment.
Thoroughly understands the interests and possibilities of both sides.
Justifies viewpoints using strong and credible data.
Leverages relationships with others to achieve goals.
Influences others through rational argument and persuasion.
Organizational Fluency	Agree	Unsure	Disagree	N/A
Gets things done through the department.
Understands departmental policies and procedures.
Is aware of other organizational cultures to compare/contrast with the current organizational culture.
Understands the current organizational culture.
Able to use corporate politics to advance department objectives.

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.