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)

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.

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. Is able to control their own emotions.
  1. Is able to express themselves clearly.
  1. Helps to make decisions and solve problems using knowledge about how others will react in certain situations.
  1. Is able to manage their own emotions.
  1. Able to understand others' points of view.

Continual Improvement

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


Agree Unsure Disagree N/A
  1. Challenges current procedures to develop other alternatives.
  1. Suggests new ideas at meetings.
  1. Offers constructive improvements to existing systems.
  1. Implements best practices within the department.
  1. Builds upon the ideas and solutions of others.


Agree Unsure Disagree N/A
  1. Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
  1. Completes work to given time frame and to budget
  1. Accepts setbacks and challenges as improvement opportunities
  1. Completes work to a high technical standard
  1. Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.

Project Management

Agree Unsure Disagree N/A
  1. Responds quickly and appropriately to unforeseen problems.
  1. Organizes, plans, and directs resources to accomplish the goals and objectives.
  1. Able to adjust project schedule as needed to accommodate unforeseen issues.
  1. Regularly reviews project performance and goals.
  1. Develops action items, workplans, timelines, and criteria for projects.


Agree Unsure Disagree N/A
  1. Takes a lot of pride in their work.
  1. Can be counted on to add value wherever they are involved.
  1. Keeps themselves and others focused on constant improvement.
  1. Is planful and organized.
  1. Produces high quality work.

Client Focus

Agree Unsure Disagree N/A
  1. Satisfies client needs.
  1. Looks for opportunities that have a positive impact on Clients.
  1. Is pro-active in dealing with clients and addressing their needs.
  1. Obtains feedback to ensure client needs are being met.
  1. Maintains strong relationships with clients.


Agree Unsure Disagree N/A
  1. Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
  1. Able to say "no" when it is essential to maintaining quality and high standards.
  1. Leverages relationships with others to achieve goals.
  1. Influences others through rational argument and persuasion.
  1. Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.

Organizational Fluency

Agree Unsure Disagree N/A
  1. Able to deal with sensitive issues with tact and professionalism.
  1. Gets things done through the department.
  1. Anticipates problems that may affect the department.
  1. Able to explain departmental policies and procedures to others.
  1. Adept at navigating within the culture of the department.

  1. Overall, please rate the effectiveness of .

  2. Strengths

  3. Areas for Development

  4. Please give any final comments or suggestions for 's assessment.