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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, 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 are attentive to emotional cues and interprets others' feelings correctly.
  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.
Please feel free to provide any comments to help explain your answers?

Delegation

Does Not
Exhibit this
Competency
Seldom
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Competency
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Competency
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Competency
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  1. You assign responsibilities based on skills, interests, and growth opportunities-not favoritism or bias.
  1. You seek confirmation and commitment from the employee regarding the delegated task.
  1. I offer work that aligns with career aspirations.
  1. I define task boundaries, decision rights, and escalation protocols to prevent ambiguity.
  1. You effectively balance delegation and supervision in the department.
Please feel free to provide any comments to help explain your answers?

Decision Making

Does Not
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  1. You ask for additional information when making critical decisions.
  1. You coach team members individually when "poor" decisions are made and helps them see what could have been done differently
  1. You are willing to change your strategy if new information arises.
  1. I gather information before making a decision.
  1. You view the long and short-term impact of decisions.
Please feel free to provide any comments to help explain your answers?

Commitment

Does Not
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Competency
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Competency
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  1. I drive momentum by setting clear deadlines, ensuring commitments are pursued with focus and timeliness.
  1. You exhibit commitment by challenging excuses and rationalizations, keeping the focus on responsibility and results.
  1. I demonstrate moral courage, standing firm against pressures that would erode integrity or commitment.
  1. You take immediate action toward goals.
  1. You stop at nothing to achieve desired 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 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.
  1. You know how to produce high quality products/work.
  1. You seek information from others as needed.
  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
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Competency
Seldom
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Competency
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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 are open to the suggestions from others.
  1. You look for ways to improve work processes and procedures.
  1. I foster a culture of open communication and continuous improvement.
Please feel free to provide any comments to help explain your answers?

Interpersonal Skills

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Competency
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  1. You attend to both the content and the context of what was being said.
  1. I recognize when others do a good job.
  1. I assist employees that need help.
  1. You apply appropriate communication techniques to the situation.
  1. You use tact, compassion, and sensitivity in interactions with others.
Please feel free to provide any comments to help explain your answers?

Client Focus

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  1. I ensure that commitments made to clients are completed to the client's satisfaction.
  1. I make sure team members understand the issues faced by the client.
  1. You set an example for excellent client relations.
  1. You focus on providing excellent client service.
  1. You use feedback from clients to help improve services.
Please feel free to provide any comments to help explain your answers?

Negotiation

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Competency
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  1. I foster a robust, collaborative setting; sets clear expectations; and introduces an agenda that matches priorities.
  1. I control emotional responses to maintain a productive atmosphere.
  1. You resolve difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. I stay composed and counter aggressive negotiation tactics by reframing unreasonable proposals or actions.
  1. You demonstrate emotional stability to facilitate productive problem-solving and relationship building.
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
  1. You develop recognition events that reward and motivate others.
  1. I recognize when the team excels on a project or reaches a major milestone.
  1. You offer specific and public verbal encouragement to employees.
  1. You allow the team to help decide on recognition rewards and incentives to be implemented.
  1. You give recognition that reflect the values of the department/organization.
Please feel free to provide any comments to help explain your answers?

Vision

Does Not
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Competency
Seldom
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Competency
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Competency
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Competency
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Competency
  1. You create a positive vision of the future for the Company.
  1. I recognize potential challenges and devise comprehensive strategies to navigate and mitigate these difficulties.
  1. You invite employees to co-create strategies that bring the vision to life, fostering shared ownership.
  1. I assign the vision implementation to team members.
  1. I foster a leadership vision that promotes innovation and growth.
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.