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Emotional Intelligence - 360 Degree Feedback Survey Sample #2





Questionnaires Measuring Emotional Intelligence:
Survey 1 (4-point scale; Competency Comments)
Survey 2 (4-point scale; Competency Comments)
Survey 3 (5-point scale; Competency Comments)
Survey 4 (5-point scale; radio buttons)
Survey 5 (4-point scale; words)
Survey 6 (4-point scale; words)
Survey 7 (5-point scale; competency comments; N/A)
Survey 8 (3-point scale; Agree/Disagree words; N/A)
Survey 9 (3-point scale; Strength/Development; N/A)
Survey 10 (Comment boxes only)
Survey 11 (Single rating per competency)
Survey 12 (Slide-bar scale)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
Instructions

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months and the goals they were asked to achieve. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be discussed with the employee to foster growth and on-going development.

Competencies Included:
Emotional Intelligence, Project Management, Creativity, Self Management, Technical, Clarity, Customer Focus, Conflict Management
Sample Result Document:
Sample Results
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.

Please ensure that your submission is made between . The survey will only be available during these dates.
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Emotional Intelligence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Accurately perceives the emotional reactions of others.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to control their own emotions.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
What are your suggestions for how [Participant Name] can make improvements
in Emotional Intelligence?

Project Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Coordinates timelines, events and tasks with various sub-groups within the project.
  1. Hold team members accountable for completing specific tasks on the project.
  1. Uses scheduling software to create and monitor the timeline.
  1. Keeps accurate records regarding the costs of various aspects of the project.
  1. Adds the necessary time buffers to avoid the project getting behind schedule.
What are your suggestions for how [Participant Name] can make improvements
in Project Management?

Creativity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Finds creative ways to solve problems and issues.
  1. Demonstrates a commitment to ongoing learning, recognizing that creativity stems from new knowledge and experiences.
  1. Able to generate new ideas and think outside the box.
  1. Works across departments to stimulate creative ideas.
  1. Creates feasible solutions to problems.
What are your suggestions for how [Participant Name] can make improvements
in Creativity?

Self Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Steps away from a situation to process appropriate response.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Uses patience and self-control in working with customers and associates.
  1. Does not allow own emotions to interfere with the performance of others.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
What are your suggestions for how [Participant Name] can make improvements
in Self Management?

Technical

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Willingly shares information and expertise; sought out as resource by others
  1. Keeps current with technical advances within his/her professional discipline; embraces and applies new techniques and practices
  1. Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  1. Is knowledgeable of procedures or systems necessary for the job.
  1. Willingly shares his/her technical expertise; sought out as resource by others
What are your suggestions for how [Participant Name] can make improvements
in Technical?

Clarity

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Maintains clarity in goals and objectives.
  1. Adjusts communication methods to the needs of the audience.
  1. Is clear about the roles and duties of team members.
  1. Communicates with clarity and efficiency.
  1. Avoids stating unclear or conflicting goals.
What are your suggestions for how [Participant Name] can make improvements
in Clarity?

Customer Focus

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Builds trust with the customer.
  1. Has received good feedback from customers.
  1. Is competent in handling customer cases.
  1. Delivers high quality products to the customer.
  1. Meets with customers on a regular basis.
What are your suggestions for how [Participant Name] can make improvements
in Customer Focus?

Conflict Management

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Communicates who is responsible for follow-up actions after a conflict is resolved, ensuring closure and continuity.
  1. Translates abstract concerns into actionable steps, helping teams move from confusion to clarity.
  1. Creates an environment where team members work collaboratively rather than compete with one another.
  1. Explores the feasibility of alternative solutions to resolve conflicts.
  1. Helps others avoid misperceptions about issues.
What are your suggestions for how [Participant Name] can make improvements
in Conflict Management?


  1. Strengths


  2. Areas for Development


  3. Please give any final comments or suggestions for [Participant Name Here]'s assessment.