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. Accurately perceives the emotional reactions of others.
  1. Able to understand others' points of view.
  1. Is able to manage their own emotions.
  1. Is able to control 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. Communicates with the necessary stakeholders if the budget targets are missed.
  1. Maintains costs and expenses within budget limits.
  1. Keeps accurate records regarding the costs of various aspects of the project.
  1. Establishes the sequence of steps needed to complete the project.
  1. Has detailed knowledge about the project and can adapt the project plan as needed.
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. Inspires creativity in their team.
  1. Creates a lot of new ideas.
  1. Adds value to the department/organization.
  1. Is creative.
  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. Consciously controls own negative emotions in order to keep team morale up.
  1. Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
  1. Steps away from a situation to process appropriate response.
  1. Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
  1. Does not allow own emotions to interfere with the performance of others.
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. Knows how to produce high quality products/work.
  1. Seeks information from others as needed.
  1. Willingly shares his/her technical expertise; sought out as resource by others
  1. Demonstrates mastery of the technical competencies required in his/her work.
  1. Willingly shares information and 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. Uses appropriate grammar and tense in communications.
  1. Avoids stating unclear or conflicting goals.
  1. Avoids creating ambiguity or mixed messages.
  1. Seeks to reduce ambiguity in messaging and documents.
  1. Communicates with clarity and efficiency.
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. Has received good feedback from customers.
  1. Manages customer accounts with high degree of competence.
  1. Attends to the customer's needs in addition to the specific needs of the project.
  1. Identifies the core needs of the customer.
  1. Responsive to customer needs.
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. Helps employees to think through alternative ways to resolve conflict situations.
  1. Clearly expresses expectations to others.
  1. Assists team members by helping them see the other point of view.
  1. Deals effectively with employee grievances.
  1. Identifies and takes steps to prevent potential confrontations.
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.