HR-Survey > 360-Degree Feedback > Competency Model > Emotional Intelligence

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)
Survey 13 (4-point scale; numbers; floating anchors)
Survey 14 (4-point scale; N/A)
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.

Competencies Included:
Emotional Intelligence, Delegation, Decision Making, Commitment To Result, Technical, Continual Improvement, Interpersonal Skills, Client Focus, Negotiation, Recognition, Vision
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 are able to express yourself clearly.
  1. You accurately perceive the emotional reactions of others.
  1. You are able to manage your own emotions.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
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 authority and responsibility to subordinates and holds them accountable for your actions.
  1. You encourage and empower subordinates to use initiative in achieving goals and objectives.
  1. You delegate tasks, responsibilities, and accountability as appropriate to the level of employee.
  1. You entrust subordinates with important tasks.
  1. You define the roles, responsibilities, required actions, and deadlines for team members.
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 determine the costs and potential benefits of decisions.
  1. You are confident in the decisions you make.
  1. You use reasonable assumptions and logic to decide between alternate courses of action
  1. You are open to the suggestions from subordinates.
  1. I regularly evaluate information before making important decisions.
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 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 able to focus on a task even when working alone.
  1. You take immediate action toward goals.
  1. You are willing to do whatever it takes-not afraid to have to put in extra effort.
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 seek information from others as needed.
  1. You willingly share information and expertise; sought out as resource by others
  1. You keep current with technical advances within your professional discipline; embrace and apply new techniques and practices
  1. You demonstrate mastery of the technical competencies required in your work.
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 encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You are open to the suggestions from others.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You look for ways to improve work processes and procedures.
  1. You analyze processes to determine areas for improvement.
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 use knowledge and charisma rather than position, power, or coercion to influence others
  1. You are honest about owning up to mistakes made.
  1. I work diligently to assist customers in finding the right products.
  1. You strive for win/win solutions
  1. You strive to lead by example to demonstrate the value of interpersonal relationships.
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 deliver on commitments made to clients.
  1. I identify the core needs of the client.
  1. I exceed expectations of the clients.
  1. You satisfy client needs.
  1. You use client feedback to help improve products and services.
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. I prepare thoroughly by analyzing and understanding each party's interests, alternatives, and options.
  1. I establish a strong, cooperative atmosphere; defines expectations; and presents a well-structured agenda aligned with key priorities.
  1. I keep a firm grasp on the issues and priorities.
  1. You firmly believe the company is making the best offer.
  1. I listen to all sides without bias and make fair decisions.
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 reinforce and reward employees for accomplishing necessary goals.
  1. You say "thank you" to show appreciation for work of others.
  1. You offer recognition in a timely manner.
  1. You find opportunities to recognize others.
  1. You compliment other people when they do good work
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 develop a vision to inspire collective action.
  1. You craft strategic plans that embody the organization's shared vision.
  1. You chart a bold course for the department's rapid evolution and expansion.
  1. I recognize issues and formulate solutions.
  1. You design and implement a forward-looking vision for the company.
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.