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

• Able to understand others' points of view.
• Is able to express themselves clearly.
• Accurately perceives the emotional reactions of others.
• Is attentive to emotional cues and interprets others' feelings correctly.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.

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

Comments:

Self Management

• Analyzes interpersonal problems instead of reacting to them.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Does not allow own emotions to interfere with the performance of others.
• Steps away from a situation to process appropriate response.
• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.

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

Comments:

Continual Learning

• Takes the initiative to learn new skills.
• Grasps new ideas, concepts, technical, or business knowledge.
• Sets relevant learning objectives and goals.
• Takes charge of their training and skills enhancement.
• Shares best practices with others and learns from others.

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

Comments:

Innovation

• Enhances the feasibility and impact of new ideas through careful analysis and iterative improvements.
• Embraces an open-minded approach allowing managers to discover and promote innovative solutions that drive business success.
• Not afraid to think outside the box when dealing with issues.
• Creates a safe environment for idea-sharing.
• Transforms raw ideas into actionable plans with a higher likelihood of successful implementation.

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

Comments:

Negotiation

• Effectively sets the tone and agenda, creates rapport, and builds momentum at the start of negotiations.
• Clearly communicates boundaries and the reasons behind them.
• Fosters a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
• Maximizes information gathering efforts prior to negotiations.
• Demonstrates confidence in own position and can influence the other party's perception of proposals being offered.

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.