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)
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.


Emotional Intelligence

Clear
Strength
Capable
and
Effective
Could
Benefit from
Development
Needs
Significant
Improvement
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is attentive to emotional cues and interprets others' feelings correctly.
  1. Is able to control their own emotions.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Is able to manage their own emotions.
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. Ensures that the project remains at or under budget.
  1. Communicates with the teams often to ensure that the deadlines are met.
  1. Assigns project roles to the team members.
  1. Establishes the scope for the project.
  1. Identifies the project time and budget constraints.
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. Is creative.
  1. Adds value to the department/organization.
  1. Creates a lot of new ideas.
  1. Conceives, implements and evaluates ideas.
  1. Is creative and inspirational.
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. Does not allow own emotions to interfere with the performance of others.
  1. Analyzes interpersonal problems instead of reacting to them.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
  1. Uses patience and self-control in working with customers and associates.
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. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares his/her technical 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. Seeks information from others as needed.
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. Clearly explains the vision and goals of the company.
  1. Clearly explains responsibilities to individuals.
  1. Attends to the important details of a job or task.
  1. Is clear about the roles and duties of team members.
  1. Writes clear job descriptions for positions in the organization.
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. Makes sure their interests are aligned with the customer's interests.
  1. Considers customers point of view when making decisions.
  1. Anticipates potential obstacles to meeting customer needs.
  1. Helps customers to feel satisfied with our work/services.
  1. Regularly receives positive feedback from customers.
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. Addresses contentious issues earlier rather than later.
  1. Determines what issues can be agreed upon.
  1. Persuades individuals to alter their underlying work behaviors which may have led to the conflict.
  1. Resolves grievances through a better understanding and appreciation of what each side needs.
  1. Encourages individuals to modify their underlying work behaviors that may have contributed to the conflict.
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.