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.

You can save your progress on partially completed forms by clicking the Save/Still Working button located at the bottom of the page. This allows you to come back at a later time to finish or make any necessary edits to the form. When you return, your previously saved responses will automatically be displayed, allowing you to seamlessly continue where you left off. When you have completed filling out the form and are confident that no further changes are needed, please click the Complete button.

Emotional Intelligence	Definite Strength	Meets Standards	Needs Development	N/A
You are able to express yourself clearly.
You help to make decisions and solve problems using knowledge about how others will react in certain situations.
You are able to manage your own emotions.
You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
You are able to control your own emotions.
Communication Skills	Definite Strength	Meets Standards	Needs Development	N/A
You are persuasive and articulate when communicating.
You convey ideas confidently and succinctly.
I take on challenging questions and provide instant answers.
I maintain a formal and respectful tone, avoid using of slang or overly casual language.
You deliver influential presentations.
Flexibility	Definite Strength	Meets Standards	Needs Development	N/A
You value and adjust training to meet diverse learning preferences.
You foster a culture where diverse perspectives are valued allowing the team to adapt more easily to changes and draw on a wider range of ideas and solutions.
I am flexible in considering different viewpoints.
I am flexible in solving difficult problems.
You are open to change and new ways of doing things.
Bias for Action	Definite Strength	Meets Standards	Needs Development	N/A
You identify ways to simplify work processes and reduce cycle times
You encourage risk taking and experimentation to improve performance
You coach others to foster an environment which can adapt quickly and willingly to rapid change.
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).
Supervisory Skills	Definite Strength	Meets Standards	Needs Development	N/A
I seek to enhance the performance of employees under my supervision.
You effectively determines which issues need immediate attention.
You encourage employees to achieve your full potential.
You maintain good working relationships with employees.
I empower employees to make their own decisions in the field.
Analytical	Definite Strength	Meets Standards	Needs Development	N/A
You analyze data and information from several sources and arrives at logical conclusions.
You prioritize various actions to be taken when solving a problem.
You use appropriate techniques to solve problems.
You identifiy opportunities for progress and innovation.
You identify problems and issues needing resolution.
Goals	Definite Strength	Meets Standards	Needs Development	N/A
You set high expectations and goals; encourages others to support the organization.
You conduct timely follow-up; keeps others informed on a need to know basis.
You establish and document goals and objectives.
You achieve established goals.
You set challenging stretch goals
Technology Use/Management	Definite Strength	Meets Standards	Needs Development	N/A
You use technology in decision making and problem solving.
You support employee training and development initiatives regarding implementation of technology.
You maximize the use of new technology to deliver products and services.
You adopt the implementation of new technology into the workplace.
You support technical training and development of employees.
Co-worker Development	Definite Strength	Meets Standards	Needs Development	N/A
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
You adapt coaching and mentoring approach to meet the style or needs of individuals
Others	Definite Strength	Meets Standards	Needs Development	N/A
You support the efforts of other employees in implementing solutions to problems.
You form working relationships with employees from other departments.
You work across boundaries within the organization.
You work effectively with people from other departments.
You are able to see issues from others' perspectives.
Strategic Insight	Definite Strength	Meets Standards	Needs Development	N/A
You identify root causes of problems.
I recognize the needs of customers.
You develop a plan and strategy for each functional area within the mission statement.
You identify potential problems before they become critical incidents.
You create strategic plans to develop and promote organizational and area strengths, as well as to address weaknesses based on insight from surveys.

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.