Emotional Intelligence - 360 Degree Feedback Survey Sample #8

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)

You have been selected to provide feedback for the manager listed above. Your feedback is an important part of 's leadership development process. This tool is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the assessment form, please think about your experiences working with this individual during the last six to twelve months. Your responses will be merged with other people's feedback and presented to to guide them in their on-going development. Comments will be shared anonymously, as written, with the manager.

Sample Result Document:
Sample Results
Method of use: As part of the review process, managers will receive feedback from peers and staff. It is recognized that not all participants will be able to assess an individual's performance in all areas. The feedback received will be utilized as input to the manager's performance and on-going development plan.

You may sign out at any time by pressing the Save button at the end of the form and then closing your browser. You may return later to pick up where you left off. When you are done, press the Complete button.

When clicking your selection below, try to best fit the manager's actual behaviors to the scale provided.

If you are not sure, or unable to assess, select "Not Applicable" (N/A) option.

Please complete your response by .

Emotional Intelligence

Agree Unsure Disagree N/A
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  1. Accurately perceives the emotional reactions of others.
  1. Is able to manage their own emotions.
  1. Able to understand others' points of view.

Continual Improvement

Agree Unsure Disagree N/A
  1. Looks for ways to expand current job responsibilities.
  1. Looks for ways to expand and learn new job skills.
  1. Open to the suggestions from others.
  1. Promotes training and development opportunities to enhance job performance.
  1. Looks for ways to improve work processes and procedures.


Agree Unsure Disagree N/A
  1. Takes risks to advance important ideas.
  1. Solves problems with insight and understanding.
  1. Implements best practices within the department.
  1. Finds creative ways to get things done with limited resources.
  1. Creates improved methods or solutions for meeting goals and objectives.


Agree Unsure Disagree N/A
  1. Completes work to given time frame and to budget
  1. Takes calculated risks.
  1. Sets ambitious standards of performance.
  1. Driven to complete assignments on time.
  1. Systematically works to improve the organization

Project Management

Agree Unsure Disagree N/A
  1. Anticipates potential problems and institutes controls and contingency plans to address them.
  1. Works with customers and clients to assess their needs and define project parameters.
  1. Responds quickly and appropriately to unforeseen problems.
  1. Regularly reviews project performance and goals.
  1. Inspires others to accomplish goals and objectives.


Agree Unsure Disagree N/A
  1. Can be counted on to add value wherever they are involved.
  1. Is planful and organized.
  1. Demonstrates the functional or technical skills necessary to do their job.
  1. Takes a lot of pride in their work.
  1. Demonstrates the analytical skills to do their job.

Client Focus

Agree Unsure Disagree N/A
  1. Ensures clients' expectations are met or exceeded.
  1. Makes client's needs a top priority.
  1. Ensures client commitments and requirements are met or exceeded
  1. Understands what resources are needed to meet client needs.
  1. Supports client focused policies and procedures.


Agree Unsure Disagree N/A
  1. Is able to decline bad ideas to avoid making poor decisions.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Establishes clear communications to avoid misunderstandings.
  1. Leverages relationships with others to achieve goals.
  1. Changes communication styles to meet the listener's needs.

Organizational Fluency

Agree Unsure Disagree N/A
  1. Is aware of other organizational cultures to compare/contrast with the current organizational culture.
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Able to use corporate politics to advance department objectives.
  1. Gets things done through the department.
  1. Understands the current organizational culture.

  1. Overall, please rate the effectiveness of [Participant Name Here].

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for [Participant Name Here]'s assessment.