Adaptability - 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

Adaptability	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to work effectively with new people and new teams.
Is proactive and takes steps to prepare for changes in the workplace.
Flexible and open to new ideas and encourages others to value change.
Able to quickly learn new ways of performing their job.
Performs a wide range of tasks, responds to changes in direction and priorities and accepts new challenges, responsibilities, and assignments.
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Sets an example for associates during stressful periods by maintaining a positive, can-do attitude.
Steps away from a situation to process appropriate response.
Consciously controls own negative emotions in order to keep team morale up.
Analyzes interpersonal problems instead of reacting to them.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Constantly enhances product knowledge through experimentation and play.
Is motivated by the desire to be "the best".
Holds self and associates accountable for goal achievement.
Critiques own performance and learns from experience as a source of continuous improvement.
Actively seeks to learn by asking questions and listening to all store associates.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with others.
Has excellent influencing/negotiating skills.
Attempts to persuade others rather than simply control them.
Ensures stakeholders are involved in the decision making process.
Develops a good rapport with others.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Accepts setbacks and challenges as improvement opportunities
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Demonstrates a well-organized and timely approach to achieve desired results
Systematically works to improve the organization
Set high standards in their performance
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Rewards innovative experiments to try new ideas.
Able to adapt quickly to changing situations.
Effectively responds to critical situations to reduce potential for losses.
Avoids maintaining the status quo (or standard operating procedures) when addressing new and influential situations.
Bases decisions on patterns found in fluid/changing information.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies appropriate communication techniques to the situation.
Values the opinions of others.
Is a role model for others
Demonstrates willingness to work with others.
Comes across as credible, knowledgeable and sincere
Client Focus	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures client commitments and requirements are met or exceeded
Is pro-active in dealing with clients and addressing their needs.
Maintains strong relationships with clients.
Looks for opportunities that have a positive impact on Clients.
Satisfies client needs.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Allows individuals to be responsible for their decisions.
Distributes the workload to subordinates.
Provides support and resources needed to accomplish goals.
Avoids micromanaging their employees.
Sets clear goals for others to accomplish.
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.
Delegates role to team members to accomplish goals.
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Anticipates obstacles and ways to overcome them.

51. Overall, please rate the effectiveness of .
    

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

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