Emotional Intelligence - 360 Degree Feedback Survey Sample #10

360 Feedback Survey

Instructions

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give 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 the recipient to help guide their ongoing 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

• Is able to manage their own emotions.
• Is able to control their own emotions.
• Accurately perceives the emotional reactions of others.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Able to understand others' points of view.

If [Participant Name] were to make improvements in Emotional Intelligence, what are your suggestions for how he/she can improve this?

Developing Others

• Sets performance objectives for subordinates that encourages development opportunities.
• Recognizes and celebrates accomplishments of others.
• Creates opportunities for professional development.
• Encourages employees through recognition of positive changes in behavior.
• Is open to receiving feedback.

If [Participant Name] were to make improvements in Developing Others, what are your suggestions for how he/she can improve this?

Passion To Learn

• Takes advantage of training opportunities when they arise.
• Enjoys learning new skills and techniques.
• Creates an environment that supports personal development and exploration.
• Is open minded and curious about learning new skills.
• Is committed to enhancing their own knowledge and skills.

If [Participant Name] were to make improvements in Passion To Learn, what are your suggestions for how he/she can improve this?

Punctuality

• Maintains an efficient schedule of activities.
• Starts meetings on time.
• Arrives to meetings on time.
• Starts the workday when scheduled.
• Conducts appointments at scheduled start time.

If [Participant Name] were to make improvements in Punctuality, what are your suggestions for how he/she can improve this?

Administrative Skill

• Able to develop, justify and present a budget.
• Takes responsibility for decisions.
• Has strong technical/computer skills.
• Completes reports on-time.
• Implements and uses performance measures.

If [Participant Name] were to make improvements in Administrative Skill, what are your suggestions for how he/she can improve this?

Goals

• Makes sure that team members have a clear idea of our group's goals.
• Achieves goals.
• Conducts timely follow-up; keeps others informed on a need to know basis.
• Understands & contributes to development of strategic goals.
• Achieves established goals.

If [Participant Name] were to make improvements in Goals, what are your suggestions for how he/she can improve this?

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

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

Strengths


Areas for Development


Please give any final comments or suggestions for [Participant Name Here]'s assessment.