Flexibility - 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

Flexibility	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Willing to try new ideas.
Is open to alternative ways to accomplish goals
Can handle changes without complaining.
Encourages others to adopt new procedures.
Identifies new opportunities to achieve goals
Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes interpersonal problems instead of reacting to them.
Uses patience and self-control in working with customers and associates.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Does not allow own emotions to interfere with the performance of others.
Deals with conflict by controlling own emotions by listening, being flexible, and sincere in responding.
Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Takes initiative for own learning and development.
Is motivated by the desire to be "the best".
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Constantly enhances product knowledge through experimentation and play.
Persists until goals are achieved and commitments are met.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keep themselves up-to-date of technical/professional issues
Seeks opportunities for professional development.
Seeks opportunities for continuous learning.
Encourages employees to take courses relevant to their job.
Allows employees to fully participate in employee training and professional development.
Feedback	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Actively seeks feedback from others.
Asks others for their ideas and opinions.
Open to the suggestions of others.
Is visible and approachable.
Seeks feedback to enhance performance.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Helps guide employees with prioritizing tasks.
Functions well under stress, deadlines, and/or significant workloads.
Maintains self-control when personally criticized.
Sets appropriate goals for employees.
Makes sure that employees understand how their work relates to organizational goals.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps themselves and others focused on constant improvement.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Demonstrates the analytical skills to do their job.
Takes a lot of pride in their work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Applies appropriate communication techniques to the situation.
Provides constructive feedback in a way that fosters acceptance and development.
Able to work with individuals at all levels of the Company.
Creates an atmosphere that supports the open expression of ideas
Anticipates the concerns of other employees.
Strategic Insight	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates vision for the department and company.
Formulates policies and strategies for addressing the Company's important challenges.
Identifies root causes of problems.
Identifies potential problems before they become critical incidents.
Analyzes records and reports to obtain insight into potential issues and trends.
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.
Able to identify the needs of the department before a major change.
Makes plans and follows through.
Works in an organized manner
Delegates role to team members to accomplish goals.

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.