Adapted from and courtesy of a model by Paul Mohapel (paul.mohapel@shaw.ca)
Mohapel, P. (2015). The quick emotional intelligence self-assessment. San Diego College MESA
Program.
(EI) Emotional intelligence questionnaire
This self-assessment questionnaire is designed as a place for you to begin to think about
the various competences associated with emotional intelligence as they apply to you. This
is not a validated psychometric test but rather a place to begin to think about emotional
intelligence as a key leadership attribute.
Dr. Christy Davidson, from the School of Nursing and Health Sciences, as presented in this
week’s readings, discusses the following components of emotional intelligence based on the
work of Daniel Goleman.
• Self-awareness:
It’s critical to know who you are. If you don’t, it can be difficult to understand how your
relationships affect others, and why others respond to you the way they do. If you have selfawareness, you’re able to understand your actions and how they impact others. It becomes
a cornerstone of your relationship-building skills.
• Self-regulation
Self-regulation is what happens when people are able to pause and take a breath before acting
or responding to something. It prevents kneejerk reactions. You become an
“objective observer” as if you’re watching a movie. You can assess the situation more
objectively and have time to make a decision—including consideration of how your
emotions are triggered and how that affects the final outcome.
• Motivation
Emotionally intelligent individuals are motivated. There’s something in their lives that inspires
them and gets them going every day; they have something to look forward to. If you’re a
leader, whether a self-leader or leader of a team, you can coalesce around this motivation, or
rally your teams and get them motivated, too.
• Empathy
Empathy is one of the most important components of emotional intelligence. Many times I get
asked about the difference between sympathy and empathy. Sympathy is the ability to
understand what someone is going through because you have some experience with that
scenario. But empathy is an elevated skill. It’s not just that you know what someone’s going
through, but you can feel what they feel and understand how it’s causing them to behave and
respond. It gives you the opportunity to move into an emotional reaction that will allow you to
better resolve issues or conflicts.
• Social Skill
Relationship-building is based on social skills. People like to hang out with others who are fun
or interesting to be around. Whether you’re a team leader, a self-leader, or a leader in a unit, it
is important to have good social skills. You’ll be able to build your network much more quickly
and easily. That means not just connecting with team members on work assignments or via
email, but interacting face to face, having lunch, etc.
Respond to each of the statements below using the
following scale:
▪
▪
▪
▪
▪
0 indicates Never
1 indicates Rarely
2 indicates Sometimes
3 indicates Often
4 indicates Always
Then, total your score for each domain and get a sense of your emotional effectiveness, using the
key below.
#
How much does each statement apply to you
Mark your score
Read each statement and decide how strongly the statement applies to YOU.
The number
32
Self Awareness- Total: ________
1
My feelings are clear to me at any given moment
2
Emotions play an important part in my life
3
My moods impact the people around me
4
I find it easy to put words to my feelings
5
I can easily sense when I am going to be angry
6
My moods are easily affected by external events
7
I readily tell others my true feelings
8
I find it easy to describe my feelings
9
Even when I am upset, I am aware of what is happening to me
10
I am able to stand apart from my thoughts and feelings and examine
them
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
39
Self Control-Total: _____________
1
I accept responsibility for my reactions
2
I find it easy to make goals and stick with them
3
I am an emotionally balanced person
4
I am a very patient person
5
I can accept critical comments from others without becoming angry
6
If an issue does not affect me directly, I do not let it bother me
7
I can restrain myself when I feel anger towards someone
8
I control urges to overindulge in things that could damage my
wellbeing
8
I maintain my composure even during stressful times
10
I direct my energy into creative work or hobbies
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
0
1
2
3
4
38
Empathy-Total: _________
1
I consider the impact of my decisions on other people
2
I can tell if the people around me are becoming annoyed
3
I sense it when a person’s mood changes
4
I am able to be supportive when giving bad news to others
5
I am generally able to understand the way other people feel
6
My friends can tell me intimate things about themselves
7
It genuinely bothers me to see other people suffer
8
I usually know when to speak and when to be silent
9
I care what happens to other people
10
I understand when people’s plans change
38
Responding with Integrity-Total: ______
1
I am able to show affection
2
My relationships are safe places for me
3
I find it easy to share my deep feelings with others
4
I am good at motivating others
5
I am fairly cheerful person
6
It is easy for me to make friends
7
People tell me I am sociable and fun
8
I like helping people
9
Others can depend on me
10
I am able to talk someone down if they are very upset
Circle your scores in each section to better understand your emotional intelligence strengths!
Section
Score
Self-Awareness
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40
Self-Control
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40
Empathy
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40
Responding with
Integrity
0 2 4 6 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40
Key:
0-24
Area for Enrichment: Requires attention and development
25-34
Effective Functioning: Consider Strengthening
35-40
Enhanced Skills: Use as leverage to develop weaker areas
Think about your results and identify one or two actions you can take to strengthen your
emotional intelligence.
Strengths
Self awareness
Self control
Empathy
Responding with
Integrity
Areas for
Development
Strategies for
Development