Emotional Intelligence - 360 Degree Feedback Survey Sample #12

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.

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

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

Emotional Intelligence

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

• Steps away from a situation to process appropriate response.
• Does not allow own emotions to interfere with the performance of others.
• 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.
• 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

• Sets relevant learning objectives and goals.
• Grasps new ideas, concepts, technical, or business knowledge.
• Pursues self-improvement through continual learning.
• Pursues learning that will enhance job performance.
• Is open to new ideas and concepts.

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

Comments:

Innovation

• Creates a safe environment for idea-sharing.
• Encourages open communication to ensure that all proposals are considered.
• Implements best practices within the department.
• Creates improved methods or solutions for meeting goals and objectives.
• Builds upon the ideas and solutions of others.

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

Comments:

Negotiation

• Establishes clear communications to avoid misunderstandings.
• Develops a unified understanding or strategy that acknowledges and addresses the different viewpoints and resolves conflicts.
• Listens to all sides without bias and makes fair decisions.
• Is resolute when stating priorities and non-negotiables.
• Sets and maintains firm negotiating limits and boundaries.

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.