hr-survey.com

Emotional Intelligence - 360 Degree Feedback Survey Sample #3





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)
Self-Assessment Instructions

Leadership at [Company] are participating in a 360-Degree Feedback assessment. As part of this process, you need to complete a self-assessment questionnaire form. Other employees, including your manager(s), peers, and direct reports will also evaluate you. In this manner, you will be provided with a comprehensive, multi-perspective (i.e., 360-degree) view of your performance as a manager. The objective is to provide you with feedback so as to allow you to improve your performance, resulting in improved team performance, and organizational effectiveness.

If you are not able to respond to an item, leave it blank and go on to the next item.

Sample Result Document:
Sample Results
We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make this a great company.

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





Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You accurately perceive the emotional reactions of others.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to express yourself clearly.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You define goals and objectives for subordinates.
  1. You set clear and reasonable expectations for others and follows through on your progress.
  1. You encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You entrust subordinates with important tasks.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You exercise good judgment by making sound and informed decisions.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. You ask for additional information when making critical decisions.
  1. You seek input from key people who should be involved in, or will be affected by, decisions
  1. You assess the risks, benefits, and potential impact of a number of options when deciding a course of action
Please feel free to provide any comments to help explain your answers?

Commitment To Result

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You coordinate all department activities into a cohesive team effort.
  1. You encourage commitment in others to obtain results.
  1. You create a sense of urgency among the store team members to complete activities, which drive sales.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
  1. You are able to focus on a task even when working alone.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  1. You willingly share your technical expertise; sought out as resource by others
  1. You willingly share information and expertise; sought out as resource by others
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You look for ways to expand and learn new job skills.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You look for ways to improve work processes and procedures.
  1. You are open to the suggestions from others.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You create an atmosphere that supports the open expression of ideas
  1. You are a role model for others
  1. You successfully resolve conflicts and grievances to a win-win solution.
  1. You anticipate the concerns of other employees.
  1. You demonstrate willingness to work with others.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You ensure client commitments and requirements are met or exceeded
  1. You look for opportunities that have a positive impact on Clients.
  1. You maintain strong relationships with clients.
  1. You satisfy client needs.
  1. You obtain feedback to ensure client needs are being met.
Please feel free to provide any comments to help explain your answers?

Negotiation

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You are able to clearly express thoughts and concerns.
  1. You are able to say "no" when it is essential to maintaining quality and high standards.
  1. You are able to control your emotional responses and correctly gauge the emotions of others.
  1. You maintain communication channels between parties in the negotiation.
  1. You establish good working relationships with others.
Please feel free to provide any comments to help explain your answers?

Recognition

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You compliment other people when they do good work
  1. You recognize individuals for a specific outstanding achievement.
  1. You find opportunities to recognize others.
  1. You say "thank you" to show appreciation for work of others.
  1. You let employees know when they have done well
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
Exhibits this
Competency
Always
Exhibits this
Competency
  1. You demonstrate consistency between words and actions
  1. You expresse the Company vision in a way that is easily understood and adopted by employees.
  1. You communicate the vision and strategy of [Company]
  1. You behave in a way that is consistent with business values & code of conduct
  1. You understand the vision of the Company and promote it ahead of any self-interests.
Please feel free to provide any comments to help explain your answers?

  1. Overall, please rate the effectiveness of [Participant Name].






  2. Strengths


  3. Areas for Development


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