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.
• Accurately perceives the emotional reactions of others.
• Is able to express themselves clearly.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Is attentive to emotional cues and interprets others' feelings correctly.

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

Developing Others

• Tries to ensure employees are ready to move to the next level.
• Recognizes and celebrates accomplishments of others.
• Creates a work environment that fosters positive feedback to employees.
• Provides constructive feedback to others.
• Assigns tasks and responsibilities to develop skills of others.

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

Passion To Learn

• Enjoys learning new skills and techniques.
• Holds self and associates accountable for goal achievement.
• Enhances value to the company through additional training and development.
• Demonstrates through personal behavior the commitment to high standards of performance.
• Inspires others to learn new things.

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

Punctuality

• Conducts appointments at scheduled start time.
• Maintains an efficient schedule of activities.
• Arrives to meetings on time.
• Invoices clients on a timely basis.
• Starts meetings on time.

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

Administrative Skill

• Accurately implements contract provisions.
• Strong organizational skills to keep the workspace and department in order
• High attention to detail.
• Has strong technical/computer skills.
• Completes reports on-time.

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

Goals

• Achieves established goals.
• Establishes and documents goals and objectives.
• Makes sure that team members have a clear idea of our group's goals.
• Goal Setting
• Makes sure that I have a clear idea of our group's 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.