Emotional Intelligence - 360 Degree Feedback Survey Sample #12





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)
Instructions

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

  • Helps employees to resolve conflicts, communicate clearly, and work together to solve problems.
  • Is able to express themselves clearly.
  • Is able to control their own emotions.
  • Able to understand others' points of view.
  • Is able to manage their own emotions.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Self Management

  • Consciously controls own negative emotions in order to keep team morale up.
  • Uses patience and self-control in working with customers and associates.
  • Steps away from a situation to process appropriate response.
  • Analyzes interpersonal problems instead of reacting to them.
  • Does not allow own emotions to interfere with the performance of others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Continual Learning

  • Pursues self-improvement through continual learning.
  • Takes charge of their training and skills enhancement.
  • Pursues professional development opportunities when they arise.
  • Views setbacks as opportunities to learn from.
  • Shares best practices with others and learns from others.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Innovation

  • Offers constructive improvements to existing systems.
  • Takes risks to advance important ideas.
  • Fosters a creative and innovative work environment.
  • Creates improved methods or solutions for meeting goals and objectives.
  • Creates a safe environment for idea-sharing.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:

Negotiation

  • Adapts strategies to better meet the needs of the moment.
  • A proficient conflict resolver who effectively navigates workplace disputes to maintain a harmonious and productive environment.
  • Conducts necessary preparations before engaging in negotiations.
  • Demonstrates confidence in own position and can influence the other party's perception of proposals being offered.
  • Clearly understands the interests and choices of both parties.
Needs
Improvement
Fully
Proficient
Excels/
Role Model






Click this box to make your rating
Comments:
Strengths


Areas for Development


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