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 help to make decisions and solve problems using knowledge about how others will react in certain situations.
You accurately perceive the emotional reactions of others.
You are able to manage your own emotions.
You are attentive to emotional cues and interprets others' feelings correctly.
You are able to understand others' points of view.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You give clear and convincing presentations.
You ask follow-up questions as needed.
You communicate effectively with all levels of the organization.
You deliver information in a clear, concise, and logical manner.
You have the confidence to communicate effectively to all levels (from ceo down) of the organization, external customers, suppliers, as well as the senior counsel of other companies.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are effective in incorporating new ideas.
You adapt to new organizational structures, policies, or procedures.
You are willing to try new ideas.
You adapt to circumstances as needed.
You identify new opportunities to achieve goals
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You motivate others to achieve or exceed goals
You project a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
You identify ways to simplify work processes and reduce cycle times
You seek and utilize opportunities for continuous learning and self-development.
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
You maintain good working relationships with employees.
You are aware of the unique strengths of each employee.
You promote teamwork and cooperation within the department.
You encourage employees to achieve your full potential.
You resolve personnel problems quickly and effectively.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You ask the "right" questions to size up or evaluate situations.
You prioritize various actions to be taken when solving a problem.
You identifiy opportunities for progress and innovation.
You identify problems and issues needing resolution.
You analyze data and information from several sources and arrives at logical conclusions.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You achieve goals.
You achieve established goals.
You establish and document goals and objectives.
You understand and contribute to development of strategic goals.
You set high expectations and goals; encourages others to support the organization.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You are proficient in the use of technical systems and processes.
You support technical training and development of employees.
You adopt the implementation of new technology into the workplace.
You maximize the use of new technology to deliver products and services.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
You set and clearly communicate expectations, performance goals, and measurements to others
You adapt coaching and mentoring approach to meet the style or needs of individuals
You provide ongoing feedback to co-workers on your development progress
You give others development opportunities through project assignments and increased job responsibilities
You work to identify root causes of performance problems
Others	Definite Strength	Meets Standards	Needs Development	N/A
You respect the opinions of other employees.
You treat others with respect and dignity.
You form working relationships with employees from other departments.
You consistently demonstrate ability and willingness to trust others.
You work effectively with people from other departments.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
You maintain knowledge of current trends in the industry.
You implement long-term solutions to problems.
You formulate policies and strategies for addressing the Company's important challenges.
You identify potential problems before they become critical incidents.
You formulate strategies and action plans to ensure successful completion of goals and objectives.

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.