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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
Exhibits this
Competency
Sometimes
Exhibits this
Competency
Usually
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Competency
Always
Exhibits this
Competency
  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.
  1. You are able to understand others' points of view.
  1. You help to make decisions and solve problems using knowledge about how others will react in certain situations.
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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Competency
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Competency
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  1. You define goals and objectives for subordinates.
  1. You assign tasks to create learning opportunities for the employees.
  1. You entrust subordinates with important tasks.
  1. You set clear and reasonable expectations for others and follow through on their progress.
  1. You clearly define duties and tasks to be completed.
Please feel free to provide any comments to help explain your answers?

Decision Making

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  1. I carefully evaluate information before making an important decision.
  1. I have enough self-control to avoid making impulsive decisions.
  1. I am receptive to new ideas from others when making decisions.
  1. You are willing to consider information from other sources.
  1. You have a good rapport other people which is helpful in making decisions on the team.
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 coordinate all department activities into a cohesive team effort.
  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

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Competency
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  1. You willingly share information and expertise; sought out as resource by others
  1. You know how to produce high quality products/work.
  1. You demonstrate mastery of the technical competencies required in your work.
  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 use expertise to identify issues and think through creative solutions to get a problem solved or objective accomplished.
Please feel free to provide any comments to help explain your answers?

Continual Improvement

Does Not
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Competency
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  1. You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  1. You promote training and development opportunities to enhance job performance.
  1. You look for ways to expand and learn new job skills.
  1. You are open to the suggestions from others.
  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
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Competency
Seldom
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  1. You understand the core issues of conversations.
  1. You are respectful of the opinions and ideas of others.
  1. I work diligently to assist customers in finding the right products.
  1. You are easily approachable.
  1. I am willing to lend a hand to those in the department who need help.
Please feel free to provide any comments to help explain your answers?

Client Focus

Does Not
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  1. You focus on providing excellent client service.
  1. I prioritize client issues based on urgency.
  1. I am committed to the client's success.
  1. You are able to handle difficult clients.
  1. I regularly received positive feedback from clients.
Please feel free to provide any comments to help explain your answers?

Negotiation

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Competency
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  1. I am a proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
  1. You establish a protocol/structure at the beginning of the negotiations for the development of issues.
  1. You are able to manage and resolve conflicts constructively.
  1. I establish a positive connection with the other party to create a more collaborative atmosphere, making it easier to reach mutually beneficial agreements.
  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
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Competency
Seldom
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Competency
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Competency
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Competency
  1. You offer recognition in a timely manner.
  1. You find opportunities to recognize others.
  1. You let employees know when they have done well
  1. You recognize individuals for a specific outstanding achievement.
  1. You reinforce and reward employees for accomplishing necessary goals.
Please feel free to provide any comments to help explain your answers?

Vision

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Competency
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  1. You formulate strategies that reflect a shared vision for the organization.
  1. You communicate the vision and strategy of [Company]
  1. You influence the attitudes and behaviors of subordinates to match the department's vision.
  1. You set a schedule for achieving the organization's vision.
  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.