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

• Is able to manage their own emotions.
• Is able to express themselves clearly.
• 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.

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

Comments:

Self Management

• 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.
• Uses patience and self-control in working with customers and associates.
• Does not allow own emotions to interfere with the performance of others.
• Consciously controls own negative emotions in order to keep team morale up.

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

Comments:

Continual Learning

• Sets relevant learning objectives and goals.
• Seeks opportunities to grow in skills and knowledge.
• Pursues learning that will enhance job performance.
• Builds on their strengths while addressing their weaknesses.
• Takes the initiative to learn new skills.

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

Comments:

Innovation

• Searches for opportunities and innovative ways to improve the organization.
• Implements best practices within the department.
• Fosters a creative and innovative work environment.
• Challenges current procedures to develop other alternatives.
• Creates improved methods or solutions for meeting goals and objectives.

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

Comments:

Negotiation

• Stays focused and avoids getting sidetracked by less important issues.
• Stays calm and focuses on the core issues to be discussed.
• Aims for solutions that benefit both parties.
• Understands the motivations of the other party.
• Able to say "no" when it is essential to maintaining quality and high standards.

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.