Emotional Intelligence - 360 Degree Feedback Survey Sample #12

360 Feedback Survey

Instructions

We appreciate you taking the time to provide valuable feedback for the individual mentioned above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Your insights are crucial in offering a comprehensive evaluation. Please rate each item using the scale provided. If you find that you do not have sufficient first-hand knowledge to rate a particular item, select the Not Applicable option.

In addition to the ratings, we encourage you to include comments where possible. These comments are particularly useful when you give a very high or very low rating, as they provide context and clarity regarding your assessment. Explaining your reasons in the comment section helps ensure that your feedback is constructive and actionable.

Your responses, combined with feedback from other contributors, will be compiled and presented to the individual. This collective feedback aims to support their continuous growth and development by highlighting strengths and identifying areas for improvement. Your thoughtful participation is essential in helping them achieve their full potential.

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.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

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Emotional Intelligence

• Is able to express themselves clearly.
• Is able to control their own emotions.
• Able to understand others' points of view.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Self Management

• Consciously controls own negative emotions in order to keep team morale up.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Uses patience and self-control in working with customers and associates.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• Analyzes interpersonal problems instead of reacting to them.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Continual Learning

• Builds on their strengths while addressing their weaknesses.
• Is open to new ideas and concepts.
• Grasps new ideas, concepts, technical, or business knowledge.
• Improves on their skill sets.
• Pursues learning that will enhance job performance.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Innovation

• Looks beyond company for new ideas and innovative approaches.
• Challenges current procedures to develop other alternatives.
• Establishes measurable innovation goals and regularly track progress to maintain focus and momentum.
• Encourages a search for radical innovation opportunities to obtain major breakthroughs.
• Values diverse opinions among team members.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Negotiation

• Understands the other person's needs, concerns, and motivations.
• Able to adapt to changing situations.
• Effectively sets the tone and agenda, creates rapport, and builds momentum at the start of negotiations.
• A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
• Is resolute in positions to better withstand pressure and resist making hasty concessions.

Needs Improvement		Fully Proficient		Excels/ Role Model
Click this box to make your rating

Comments:

Strengths


Areas for Development


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