Accountability - Pulse Survey - Sample #6

Dear Employee:

You have been selected to provide feedback on the employee listed above. Your feedback is an important part of our company's leadership development process and this survey is intended to gather broad feedback in the core competencies and role responsibilities that are important for the on-going success of our organization.

In responding to the questions below, think about your experiences working with this employee over the last twelve months. The effectiveness of this development tool is dependent on your honest, forthright and constructive responses so please bear this in mind as you answer each question. Your responses will be aggregated with the responses received from others and discussed with the employee to foster growth and on-going development.

We encourage everyone to complete the survey. Please be honest, constructive and thoughtful in your input. The survey is designed to help us understand more about your thoughts and needs to make a great company.

The results of this survey will be used to help drive our future success. We will report back to you about what you have said and what we plan to do about it. If you have any questions about the process please contact [Contact Person].

Please ensure that your submission is made between and . The survey will only be available during these dates.

Thank you for your participation in the survey. We look forward to seeing the analysis of your responses and we are hoping for 100% participation.

Management Team

Accountability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Implements and facilitates controls and processes that maintain the integrity of the organization.
Acts like an owner when they make decisions.
Creates a consistent process for prioritizing work.
Takes responsibility for results.
Can be counted on to do what they say they are going to do.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Holds self and associates accountable for goal achievement.
Demonstrates through personal behavior the commitment to high standards of performance.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Actively seeks to learn by asking questions and listening to all store associates.
Constantly enhances product knowledge through experimentation and play.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Sets appropriate goals for employees.
Helps guide employees with prioritizing tasks.
Excellent at managing time.
Aligns the department's goals with the goals of the organization.
Maintains self-control when personally criticized.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Persuades others to consider alternative points of view.
Ensures stakeholders are involved in the decision making process.
Understanding what others need.
Has excellent influencing/negotiating skills.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Challenges current procedures to develop other alternatives.
Offers constructive improvements to existing systems.
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Suggests new ideas at meetings.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Systematically works to improve the organization
Follows-up and takes action when goals are not met to ensure better results in the future.
Completes work to given time frame and to budget
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Accepts setbacks and challenges as improvement opportunities
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Successfully resolves conflicts and grievances to a win-win solution.
Creates an atmosphere that supports the open expression of ideas
Uses tact, compassion, and sensitivity in interactions with others.
Is open and approachable
Demonstrates willingness to work with others.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes records and reports to obtain insight into potential issues and trends.
Identifies potential problems before they become critical incidents.
Communicates vision for the department and company.
Implements long-term solutions to problems.
Identifies root causes of problems.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Makes plans and follows through.
Works in an organized manner
Able to identify the needs of the department before a major change.
Delegates role to team members to accomplish goals.

50. Overall, please rate the effectiveness of .
    

    5- Very Effective 4- Effective 3- Neither 2- Ineffective 1- Very Ineffective

    
    
51. Describe the greatest strengths of this person with regard to his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
52. Describe the most important things this person could improve upon in order to increase his/her overall effectiveness in performing his/her current responsibilities.
    
    
    
53. Additional comments, if any for 's assessment.