Refer to Appendix A – Emotional Intelligence Feedback Form.  Use this form to get feedback from 3 people in your workplace (or 3 people who know you well).  Ask them to fill in the feedback form and return them to you.

• Get feedback from 3 people. 

Appendix A - Emotional Intelligence Feedback 

Name of student being reviewed:_______________________________________________

Name of person reviewing the student:________________________________________

 

Please read each statement in reference to the student, and respond by ticking the box you think best aligns with the student being reviewed:

 

Emotional Intelligence Feedback Survey
	Strongly Agree	Agree	Neither Agree or Disagree	Disagree	Strongly Disagree
He/she does not become defensive when criticised.
He/she can stay calm under pressure.
He/she can handle setbacks effectively.
He/she can manage anxiety, stress, anger and fear in pursuit of a goal.
He/she can implement criticism and feedback for growth.
He/she is positive.
He/she can maintain a sense of humour.
He/she tries to see things from other people’s perspectives.
He/she can air grievances skilfully.
He/she can listen without jumping to conclusions.
He/she can freely admit to making mistakes.
He/she can recognise when his/her behaviour affects others.

Answer the following open ended questions regarding the person being reviewed:

• In your opinion, what is his/her greatest strength?

______________________________________________________________________________________

• In your opinion, what situations tend to affect him/her the most?

______________________________________________________________________________________

Full name of reviewer:________________________________________________________________________

Signature____________________________________Date___________________________________________