Emotional Intelligence Self-Assessment
Adapted from Sterret and Feldman
Scoring
Rate each question on a scale of 1 (Never) to 5 (Always).
Name
First Name
Last Name
Position
Dentist
Administrative Team
Dental Assistant
Dental Hygienist
Treatment Coordinator
1. I am aware of the physical reactions (twinges, aches, sudden changes) that signal a "gut reaction."
*
Never
Rarely
Sometimes
Often
Always
2. I readily admit mistakes and apologize.
*
Never
Rarely
Sometimes
Often
Always
3. When I feel angry I can still stay composed.
*
Never
Rarely
Sometimes
Often
Always
4. I generally have an accurate idea of how another person perceives me during a particular interaction.
*
Never
Rarely
Sometimes
Often
Always
5. In assessing a situation, I look at my biases and adjust my assessment accordingly.
*
Never
Rarely
Sometimes
Often
Always
6. I can keep going on a project, despite obstacles.
*
Never
Rarely
Sometimes
Often
Always
7. I can engage in an interaction with another and pretty well size-up that person's mood based on non-verbal signals.
*
Never
Rarely
Sometimes
Often
Always
8. Others feel encouraged after talking to me.
*
Never
Rarely
Sometimes
Often
Always
9. I consider my "emotional temperature" before I make important decisions.
*
Never
Rarely
Sometimes
Often
Always
10. When I feel a strong impulse to do something, I usually pause to reflect and decide whether I really want to act on it.
*
Never
Rarely
Sometimes
Often
Always
11. I can deal calmly, sensitively, and proactively with the emotional displays of others.
*
Never
Rarely
Sometimes
Often
Always
12. I can identify the emotion I am feeling at any given moment.
*
Never
Rarely
Sometimes
Often
Always
13. I am able to honestly say how I feel without getting others upset.
*
Never
Rarely
Sometimes
Often
Always
14. I can show empathy and match my feelings with those of another person in an interaction.
*
Never
Rarely
Sometimes
Often
Always
15. I think about the emotions behind my actions.
*
Never
Rarely
Sometimes
Often
Always
16. I am respected and liked by others, even when they don't agree with me.
*
Never
Rarely
Sometimes
Often
Always
17. I watch how others react to me to understand which of my own behaviors are effective and which are not.
*
Never
Rarely
Sometimes
Often
Always
18. I am good at managing my moods, and I refrain from bringing negative emotions to work.
*
Never
Rarely
Sometimes
Often
Always
19. It's easy to understand why other people feel the way they do.
*
Never
Rarely
Sometimes
Often
Always
20. I can effectively persuade others to adopt my point of view without coercing them.
*
Never
Rarely
Sometimes
Often
Always
Self Awareness
Self Management
Social Awareness
Relationship Management
Would you like your results emailed to you?
Yes
No
Email
example@example.com
Please verify that you are human
*
Finish
Should be Empty: