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 express yourself clearly.
You accurately perceive the emotional reactions of others.
You are able to understand others' points of view.
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 check for understanding throughout conversations or group presentations/discussions
You are an effective communicator
You are able to deliver presentations.
You address issues of key importance to stakeholders.
You ask follow-up questions as needed.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You are willing to try new ideas.
You are open to alternative ways to accomplish goals
You identify new opportunities to achieve goals
You are able to adapt to new situations.
You are open to the perspectives/viewpoints of others.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You complete a large volume of work.
You identify ways to simplify work processes and reduce cycle times
You seek and utilize opportunities for continuous learning and self-development.
You motivate others to achieve or exceed goals
You complete work on time
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
I recognize those who have exceeded expectations.
You motivate and inspires high performance by team members.
I have a high degree of multi-cultural competence to supervise individuals of various cultural backgrounds.
You appropriately recognize and reward employees.
You are aware of the unique strengths of each employee.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You balance risks and costs with the reward and probabilities of success when decisions.
You implement data validation techniques and methods.
You identify the root cause of a problem.
You ask the "right" questions to size up or evaluate situations.
You prioritize various actions to be taken when solving a problem.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You understand and contribute to development of strategic goals.
You achieve goals.
You conduct timely follow-up; keeps others informed on a need to know basis.
You make sure that I have a clear idea of our group's goals.
You make sure that team members have a clear idea of our group's goals.
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You maximize the use of new technology to deliver products and services.
You use technology in decision making and problem solving.
You identify gaps between actual and needed technical competencies and provide recommendations for required training.
You support technical training and development of employees.
You adopt the implementation of new technology into the workplace.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
You give others development opportunities through project assignments and increased job responsibilities
You provide ongoing feedback to co-workers on your development progress
You take immediate action on poor performance
You work to identify root causes of performance problems
You set and clearly communicate expectations, performance goals, and measurements to others
Others	Definite Strength	Meets Standards	Needs Development	N/A
You treat others with respect and dignity.
You work across boundaries within the organization.
You respect the opinions of other employees.
You consistently demonstrate ability and willingness to trust others.
You form working relationships with employees from other departments.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
You understand the Company's strengths and weaknesses and uses this information to create optimal solutions to problems.
You communicate vision for the department and company.
You create strategies that significantly benefit the Company.
You analyze records and reports to obtain insight into potential issues and trends.
You identify root causes of 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.