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 express themselves clearly.
• Able to understand others' points of view.
• Is able to control their own emotions.
• Is able to manage their own emotions.
• Accurately perceives the emotional reactions of others.

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.
• Assigns tasks and responsibilities to develop skills of others.
• Provides constructive feedback to others.
• Develops employees by offering and encouraging them to take on new or additional responsibilities.
• Supports the successes of other employees.

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

Passion To Learn

• Holds self and associates accountable for goal achievement.
• Demonstrates a willingness to participate in continuing education courses.
• Will participate in training classes even if offered outside of normal working hours.
• Takes advantage of training opportunities when they arise.
• Embraces new technology and procedures.

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.
• Avoids making personal phone calls during working hours.
• Responds to requests for information in a timely manner.
• Conducts appointments at scheduled start time.
• Arrives to 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

• Able to develop, justify and present a budget.
• Has strong technical/computer skills.
• Takes responsibility for decisions.
• Accurately implements contract provisions.
• 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

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