Creativity - 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

Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Is creative.
Adds value to the department/organization.
Inspires creativity in their team.
Creates a lot of new ideas.
Conceives, implements and evaluates ideas.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
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.
Persists until goals are achieved and commitments are met.
Takes initiative for own learning and development.
Holds self and associates accountable for goal achievement.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Quickly acquire and apply new knowledge and skills when needed
Keep themselves up-to-date of technical/professional issues
Contributing fully to the extent of their skills
Encourages employees to take courses relevant to their job.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Ensures stakeholders are involved in the decision making process.
Able to express own goals and needs.
Seeks to obtain consensus or compromise.
Understanding what others need.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Challenges current procedures to develop other alternatives.
Suggests new ideas at meetings.
Analyzes current procedures and identifies opportunities for improvement.
Offers constructive improvements to existing systems.
Implements best practices within the department.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Schedules time for self and others to optimize high priority and long term actions. Monitors progress towards business goals.
Set high standards in their performance
Systematically works to improve the organization
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Managing Risk	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to adapt quickly to changing situations.
Recognizes that small changes may snowball into major events.
Knows how to obtain desired results with minimal losses.
Seeks to maintain the long-term viability of the Company.
Seeks to retain the best and brightest employees.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Delegates role to team members to accomplish goals.
Anticipates obstacles and ways to overcome them.
Makes plans and follows through.
Able to identify the needs of the department before a major change.

41. Overall, please rate the effectiveness of .
    

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

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