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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.



Edit this Survey
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Emotional Intelligence

Does Not
Exhibit this
Competency
Seldom
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Competency
Sometimes
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Competency
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Competency
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  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 help to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. You accurately perceive the emotional reactions of others.
  1. You are able to control your own emotions.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
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Competency
Seldom
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  1. You tell subordinates what to do, not how to do it.
  1. You delegate authority and responsibility to subordinates and holds them accountable for your actions.
  1. You entrust subordinates with important tasks.
  1. You clearly define duties and tasks to be completed.
  1. You assign tasks to create learning opportunities for the employees.
Please feel free to provide any comments to help explain your answers?

Decision Making

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  1. You maintain focus on the "big picture" when making decisions.
  1. You use reasonable assumptions and logic to decide between alternate courses of action
  1. I perform a cost/benefit analysis before making a decision.
  1. You are aware of the impact of decisions and informs others about potential outcomes.
  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
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Competency
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Competency
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Competency
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  1. You are able to focus on a task even when working alone.
  1. You convey strong sense of own pride in Company to associates by creating a shared vision around sales and customer service.
  1. You coordinate all department activities into a cohesive team effort.
  1. You maintain persistence and dedication to achieving results.
  1. You encourage commitment in others to obtain results.
Please feel free to provide any comments to help explain your answers?

Technical

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  1. You demonstrate mastery of the technical competencies required in your work.
  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 seek information from others as needed.
  1. You know how to produce high quality products/work.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

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  1. You look for ways to expand current job responsibilities.
  1. You analyze processes to determine areas for improvement.
  1. You look for ways to expand and learn new job skills.
  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.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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  1. You are open and approachable
  1. You use knowledge and charisma rather than position, power, or coercion to influence others
  1. I maintain a high degree of honesty and integrity.
  1. I follow up on inquiries in a timely manner.
  1. I am a highly respected individual in the company.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. You create innovative solutions for the clients.
  1. I am responsive to client needs.
  1. I am aware of expectations from clients.
  1. You focus on the unique needs of each client.
  1. You manage client accounts with high degree of competence.
Please feel free to provide any comments to help explain your answers?

Negotiation

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  1. I foster a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
  1. I am an effective negotiator, fostering positive relationships and achieving good outcomes.
  1. You identify goals and objectives desired as well as the strengths and weaknesses currently possessed.
  1. You base arguments on objective standards or criteria, such as market value, legal standards, or expert opinions.
  1. You maintain good interpersonal relationships with representatives from the other party.
Please feel free to provide any comments to help explain your answers?

Recognition

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Competency
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Competency
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  1. You offer recognition in a timely manner.
  1. You make people around them feel appreciated and valued.
  1. You readily share credit and gives others opportunity for visibility.
  1. You let employees know when they have done well
  1. You are sincerely interested in the suggestions of co-workers
Please feel free to provide any comments to help explain your answers?

Vision

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Competency
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  1. You translate the department's vision into actionable objectives and a strategic plan.
  1. I am adept at creating and actualizing a strategic roadmap for the organization.
  1. You pinpoint challenges and devises strategies.
  1. You create a workplace culture that reflects the organizational vision.
  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.