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.

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 manage your own emotions.
  1. You are able to understand others' points of view.
  1. You are able to express yourself clearly.
  1. You are attentive to emotional cues and interprets others' feelings correctly.
  1. You are able to control your own emotions.
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 tell subordinates what to do, not how to do it.
  1. You allow subordinates to use their own methods and procedures.
  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 set clear and reasonable expectations for others and follow through on their progress.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Competency
  1. I understand how my decisions will affect others.
  1. You outline the parameters influencing the decision making process.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. I am able to make decisions quickly.
  1. I gather information before making a decision.
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 convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. You maintain persistence and dedication to achieving results.
Please feel free to provide any comments to help explain your answers?

Technical

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
Exhibits this
Competency
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Competency
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Exhibits this
Competency
  1. You are knowledgeable of procedures or systems necessary for the job.
  1. You demonstrate mastery of the technical competencies required in your work.
  1. You willingly share your technical expertise; sought out as resource by others
  1. You are naturally sought out by people outside your particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
  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
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Competency
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Competency
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Exhibits this
Competency
  1. You promote training and development opportunities to enhance job performance.
  1. You analyze processes to determine areas for improvement.
  1. You search for new methods, techniques, and processes that increase efficiency and reduce costs.
  1. You are open to the suggestions from others.
  1. You look for ways to expand current job responsibilities.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

Does Not
Exhibit this
Competency
Seldom
Exhibits this
Competency
Sometimes
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Competency
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Competency
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Competency
  1. I appreciate the extra efforts made by coworkers.
  1. I build strong relationships with team members.
  1. I am well respected in the department.
  1. I am honest about making mistakes and willing to fix them.
  1. You recognize the contributions of 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
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Competency
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Exhibits this
Competency
  1. You ensure clients' expectations are met or exceeded.
  1. I prioritize client issues based on urgency.
  1. I build long term relationships with clients.
  1. You prioritize client issues to tackle the most pressing needs first.
  1. I exhibit a positive attitude even when dealing with difficult clients.
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
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Competency
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Competency
  1. I am aware of wht problems need to be solved.
  1. I understand the other person's needs, concerns, and motivations.
  1. You stay calm and focus on the core issues to be discussed.
  1. You do what it takes to ensure that the final agreement aligns with core interests.
  1. You know the current business/market environment.
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
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Exhibits this
Competency
  1. You say "thank you" to show appreciation for work of others.
  1. You recognize individuals for a specific outstanding achievement.
  1. You are sincerely interested in the suggestions of co-workers
  1. You compliment other people when they do good work
  1. You offer recognition in a timely manner.
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. I build a culture that reinforces the manager's vision.
  1. I support a culture of the department that is willing to implement the company's vision.
  1. I define a roadmap for realizing the organization's vision.
  1. I create a clear and inspiring vision statement that outlines the desired future for the company.
  1. You persuade others to follow the Company's vision.
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.