Integrity - 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

Integrity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates honesty and truthfulness at all times.
Accepts responsibility for mistakes.
Establishes relationships of trust, honesty, fairness, and integrity.
Fosters an environment built upon trust.
Does what was promised.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly acquire and apply new knowledge and skills when needed
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Allows employees to fully participate in employee training and professional development.
Seeks opportunities for continuous learning.
Keep themselves up-to-date of technical/professional issues
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Communicates effectively with others.
Seeks to obtain consensus or compromise.
Understanding what others need.
Ensures stakeholders are involved in the decision making process.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Analyzes current procedures and identifies opportunities for improvement.
Builds upon the ideas and solutions of others.
Offers constructive improvements to existing systems.
Challenges current procedures to develop other alternatives.
Implements best practices within the department.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to given time frame and to budget
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.
Completes work to a high technical standard
Demonstrates a well-organized and timely approach to achieve desired results
Technical	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Knows how to produce high quality products/work.
Willingly shares his/her technical expertise; sought out as resource by others
Is naturally sought out by people outside his/her particular area for advice and opinion on a broad range of matters - not necessarily solely legal advice.
Is knowledgeable of procedures or systems necessary for the job.
Seeks information from others as needed.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Can be counted on to add value wherever they are involved.
Produces high quality work.
Takes a lot of pride in their work.
Keeps themselves and others focused on constant improvement.
Demonstrates the analytical skills to do their job.
Empowering Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Encourages others to obtain necessary skills and training.
Allows individuals to be responsible for their decisions.
Provides support and resources needed to accomplish goals.
Encourages employees to solve problems on their own.
Sets clear goals for others to accomplish.
Coaching	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides clear, motivating, and constructive feedback.
Conducts regular performance appraisals and feedback.
Helps employees to understand responsibilities, authority, and expectations.
Addresses employee behavior problems effectively.
Coaches employees in how to strengthen knowledge and skills to improve work performance.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Anticipates obstacles and ways to overcome them.
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.
Works in an organized manner

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.