Emotional Intelligence Questionnaire
Based on: Daniel Goleman’s Emotional Intelligence: Why it can matter more than IQ
(1995); Questionnaire modified by Suzanne Farmer et al. (c.2013) UT Southwestern’s
Office of Development and Training.
To find out how emotionally intelligent you are, answer the items from sections A and B
from a scale of 1 (low agreement) to 5 (high agreement).
Once you have completed each section. Tally your scores in section C. For example:
A. Personal Domain (EXAMPLE)
Question
2
4
6
8
9
10
+ 12
Self-Awareness Total =
Tally
Question
Tally
4
2
5
5
3
1
4
1
3
5
7
11
13
14
+ 15
Self-Management Total =
5
2
4
5
5
5
3
1
30/40
24/35
You will have calculated your score out of either 35 or 40 for each domain in sections A
and B. This will let you know if you are high or low in emotional intelligence within each
of the four domains. Answers are neither “good” nor “bad” but rather inform you of your
strengths and/or where you can improve.
A: EQ Personal Domain Self-assessment
Consider each of the behaviors below, and indicate how much you agree with each statement.
Level of Agreement (1 = low, 5 = high)
Behavior
1
2
3
4
5
1
I sense when my energy is low, and take a break to “recharge.”
1
2
3
4
5
2
I pay attention to the physical signs of an emotional response.
1
2
3
4
5
3
I admit my mistakes and apologize.
1
2
3
4
5
4
I wait until I have all the pertinent information before expressing my
opinion.
1
2
3
4
5
5
I let go of sadness, anger, or fears from the past and I can move on.
1
2
3
4
5
6
I realize that as a person, I have strengths and weaknesses.
1
2
3
4
5
7
I take time for quiet reflection.
1
2
3
4
5
8
I know I am not perfect, but I value who I am.
1
2
3
4
5
9
I can usually identify the emotion I am feeling when an event occurs.
1
2
3
4
5
10
I know my values and goals.
1
2
3
4
5
11
I can stop long enough to consider my emotions.
1
2
3
4
5
12
I often “reframe” my initial interpretation of an emotion.
1
2
3
4
5
13
I am good at managing my moods, and try not to bring negative
emotions to work.
1
2
3
4
5
14
I regulate how much I “open up” with people, both allowing an
emotion and curtailing it when necessary.
1
2
3
4
5
15
I neither bury my anger nor let it explode.
1
2
3
4
5
B. EQ Relational Domain Self-assessment
Consider each of the behaviors below, and indicate how much you agree with each statement.
Level of Agreement (1 = low, 5 = high)
Behavior
1
2
3
4
5
1
I am interested in discovering the emotional makeup of others.
1
2
3
4
5
2
I generally have an accurate idea of how another person perceives
me during a particular interaction.
1
2
3
4
5
3
I create an environment where people can say what is on their
mind.
1
2
3
4
5
4
I can easily meet and initiate conversation with new people.
1
2
3
4
5
5
I have a number of people I can turn to and ask for help when I
need it.
1
2
3
4
5
6
I am interested in helping people grow and develop.
1
2
3
4
5
7
I can engage with a person in a way that helps me “size up” that
person's mood based on non-verbal signals.
1
2
3
4
5
8
I can deal calmly and sensitively with others when they are in an
emotional state.
1
2
3
4
5
9
People usually feel inspired and encouraged after talking with me.
1
2
3
4
5
10
I can show empathy and match my feelings with those of another
person in an interaction.
1
2
3
4
5
11
I’m comfortable expressing my viewpoints without being pushy.
1
2
3
4
5
12
I focus my full attention when I listen to another person.
1
2
3
4
5
13
People generally like me, even if they don’t always agree with me.
1
2
3
4
5
14
I can effectively persuade others to adopt my point of view
without coercing them.
1
2
3
4
5
15
I believe that people can find common ground and work out
problems together.
1
2
3
4
5
C. EQ Self-Assessment Tally Sheet
Name:________________________________________
Please add up the scores for the following questions to get your EQ category tally.
B. Personal Domain
Question
Tally
2
4
6
8
9
10
+ 12
Self-Awareness Total =
/35
Question
1
3
5
7
11
13
14
+ 15
Self-Management Total =
Tally
/40
C. Relational Domain
Question
1
2
4
6
7
11
13
+ 15
Social Awareness Total =
Tally
Question
Tally
3
5
8
9
10
12
+ 14
/40
Relationship Mgt Total =
/35