Bias for Action - 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

Bias for Action	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes a large volume of work.
Projects a "can-do" attitude when interfacing with peers, subordinates and customers(especially during difficult and challenging times).
Conveys a sense of urgency about addressing problems and opportunities
Identifies ways to simplify work processes and reduce cycle times
Coach others to foster an environment which can adapt quickly and willingly to rapid change.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates through personal behavior the commitment to high standards of performance.
Is motivated by the desire to be "the best".
Persists until goals are achieved and commitments are met.
Takes initiative for own learning and development.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures stakeholders are involved in the decision making process.
Has excellent influencing/negotiating skills.
Able to express own goals and needs.
Develops a good rapport with others.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Offers constructive improvements to existing systems.
Suggests new ideas at meetings.
Challenges current procedures to develop other alternatives.
Builds upon the ideas and solutions of others.
Analyzes current procedures and identifies opportunities for improvement.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates a well-organized and timely approach to achieve desired results
Follows-up and takes action when goals are not met to ensure better results in the future.
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Set high standards in their performance
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Takes a lot of pride in their work.
Demonstrates the analytical skills to do their job.
Produces high quality work.
Is planful and organized.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Effectively manages conflicts by dealing with them directly and immediately
Comes across as credible, knowledgeable and sincere
Is open and approachable
Adapts management style to meet the needs of the individual or situation.
Demonstrates willingness to work with others.
Negotiation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Resolves difficult negotiations whether it is a contract, sub contract, legal or any other difficult negotiation fairly and reasonably.
Able to say "no" when it is essential to maintaining quality and high standards.
Influences others through rational argument and persuasion.
Able to say "no" when necessary to effectively execute business strategy and meet long-term objectives.
Leverages relationships with others to achieve goals.
Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Treats others with respect and dignity.
Supports the efforts of other employees in implementing solutions to problems.
Works across boundaries within the organization.
Works effectively with people from other departments.
Forms working relationships with employees from other departments.
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 potential challenges, develops plan to overcome them and then carries out the plan.

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.