Emotional Intelligence - 360 Degree Feedback Survey Sample #11

360 Feedback Survey

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)

Thank you for providing feedback for the recipient above. As you respond, please draw on your first-hand experience with this individual in the past 12 months. Rate each item using the scale shown. If you don't feel you have enough first-hand information to rate a certain item, please choose the Not Applicable option. Comments can be very helpful; at a minimum where you give a particularly high or low rating, please share your reasons in the comment section for that competency. Your responses will be compiled with feedback from others and presented to the recipient to help guide their ongoing development.

Partially completed forms can be saved by using the Save/Still Working button at the bottom of the page. You may return at a later time to complete/edit the form. Your saved responses will be shown each time you re-visit the feedback form. When you are certain that you have completed your responses and will be not making any changes, click the Complete button.

To what extent does [Participant Name] exhibit the following ...

SELECT the rating that best reflects the employee's performance in the areas listed.

Emotional Intelligence

What does Emotional Intelligence mean?
It means that ...
  • You help employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • You are able to express yourself clearly.
  • You accurately perceive the emotional reactions of others.
  • You are able to understand others' points of view.
  • You are able to control your own emotions.

To what extent does this person exhibit Emotional Intelligence?
Select from one of the ratings below.

Continual Improvement

What does Continual Improvement mean?
It means that ...
  • You look for ways to improve work processes and procedures.
  • You promote training and development opportunities to enhance job performance.
  • You encourage an employee culture of continuous improvement to seek out better ways of doing things.
  • You look for ways to expand current job responsibilities.
  • You search for new methods, techniques, and processes that increase efficiency and reduce costs.

To what extent does this person exhibit Continual Improvement?
Select from one of the ratings below.

Managing Performance

What does Managing Performance mean?
It means that ...
  • You are consistent in disciplinary/corrective actions.
  • You recognize and value good performance.
  • You make sure commitments are understood and met.
  • You provide employees with necessary resources to accomplish your goals.
  • You set specific and measurable goals for others and follows through to completion.

To what extent does this person exhibit Managing Performance?
Select from one of the ratings below.


What does Performance mean?
It means that ...
  • You listen and respond to issues and problems
  • You produce quality
  • You work well in this position.
  • You are able to organize work.
  • You effectively organize resources and plans

To what extent does this person exhibit Performance?
Select from one of the ratings below.

Results Oriented

What does Results Oriented mean?
It means that ...
  • You stay focused on meeting the needs of customers.
  • You provide clear expectations for employees.
  • You explain the "whys" behind organizational objectives
  • You direct team in prioritizing daily work activities
  • You work toward achievement of goals even when confronted with obstacles.

To what extent does this person exhibit Results Oriented?
Select from one of the ratings below.

Areas for Development

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