Emotional Intelligence - 360 Degree Feedback Survey Sample #9

360 Feedback Survey

Self-Assessment Instructions

Thank you for agreeing to participate in this leadership training process. As part of this process, you will be completing the self-assessment questionnaire (below). As you respond, please draw on your work experiences over the past 12 months. Rate each item using the scale shown. Comments at the end can help you to explain your ratings. If you gave a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to you at the next leadership seminar to help guide your ongoing professional development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to control your own emotions.
You are able to understand others' points of view.
You are able to express yourself clearly.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You deliver information in a clear, concise, and logical manner.
You communicate effectively with all levels of the organization.
You ask follow-up questions as needed.
You present issues, ideas, and strategy concisely and clearly.
You address issues of key importance to stakeholders.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are able to adapt to new situations.
You are open to alternative ways to accomplish goals
You work effectively during periods of change.
You can handle changes without complaining.
You are open to the perspectives/viewpoints of others.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You seek and utilize opportunities for continuous learning and self-development.
You encourage risk taking and experimentation to improve performance
You motivate others to achieve or exceed goals
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
You identify and maximize opportunities for continuing education for employees.
I set a good example for others to follow.
I am willing to consider a spectrum of disciplinary measures, ranging from formal warnings to unpaid leave.
I speak to all employees involved to get a complete picture of the situation.
You maintain an even temper in stressful situations.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You identifiy opportunities for progress and innovation.
You ask the "right" questions to size up or evaluate situations.
You use appropriate techniques to solve problems.
You select the appropriate techniques for analysis.
You prioritize various actions to be taken when solving a problem.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You set challenging stretch goals
You make sure that team members have a clear idea of our group's goals.
You establish and document goals and objectives.
You achieve goals.
You understand and contribute to development of strategic goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You adopt the implementation of new technology into the workplace.
You are proficient in the use of technical systems and processes.
You apply complex rules and regulations to maintain optimal system performance.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You support technical training and development of employees.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
You give others development opportunities through project assignments and increased job responsibilities
You work to identify root causes of performance problems
You set and clearly communicate expectations, performance goals, and measurements to others
You provide ongoing feedback to co-workers on your development progress
You take immediate action on poor performance
Others	Definite Strength	Meets Standards	Needs Development	N/A
You are able to see issues from others' perspectives.
You work effectively with people from other departments.
You support the efforts of other employees in implementing solutions to problems.
You work across boundaries within the organization.
You consistently demonstrate ability and willingness to trust others.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
You identify root causes of problems.
You meets with customers to gain insight into their core needs and how best to serve them.
You analyze records and reports to obtain insight into potential issues and trends.
You analyze unique issues or problems impacting the Company.
You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.

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

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

    
    
57. Strengths
    
    
    
58. Areas for Development
    
    
    
59. Please give any final comments or suggestions for [Participant Name Here]'s assessment.