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

• Accurately perceives the emotional reactions of others.
• Is able to manage their own emotions.
• Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
• Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
• Is attentive to emotional cues and interprets others' feelings correctly.

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.
• Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
• Analyzes interpersonal problems instead of reacting to them.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
• 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

• Pursues self-improvement through continual learning.
• Seeks opportunities to grow in skills and knowledge.
• Is open to new ideas and concepts.
• Pursues professional development opportunities when they arise.
• 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

• Offers constructive improvements to existing systems.
• Analyzes current procedures and identifies opportunities for improvement.
• Builds upon the ideas and solutions of others.
• Creates a safe environment for idea-sharing.
• Challenges current procedures to develop other alternatives.

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

Comments:

Negotiation

• Establishes good working relationships with others.
• Maintains good interpersonal relationships with representatives from the other party.
• Leverages relationships with others to achieve goals.
• Establishes clear communications to avoid misunderstandings.
• Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.

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.