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

• Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
• Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
• Does not allow own emotions to interfere with the performance of others.
• Steps away from a situation to process appropriate response.
• Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.

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

Comments:

Continual Learning

• Takes the initiative to learn new skills.
• Pursues self-improvement through continual learning.
• Sets relevant learning objectives and goals.
• Takes charge of their training and skills enhancement.
• Grasps new ideas, concepts, technical, or business knowledge.

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

Comments:

Innovation

• Solves problems with insight and understanding.
• Builds upon the ideas and solutions of others.
• Implements best practices within the department.
• Offers constructive improvements to existing systems.
• 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

• Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
• Establishes good working relationships with others.
• Actively listens to conversations to be able to recall important details later.
• Influences others through rational argument and persuasion.
• Understands the expectations of other parties in the negotiation.

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.