Passion to Learn - 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

Passion To Learn	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Persists until goals are achieved and commitments are met.
Recognizes own areas for development and consciously seeks assignments that will provide practice in areas of developmental need.
Actively seeks to learn by asking questions and listening to all store associates.
Demonstrates through personal behavior the commitment to high standards of performance.
Critiques own performance and learns from experience as a source of continuous improvement.
Continual Improvement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Promotes training and development opportunities to enhance job performance.
Looks for ways to expand current job responsibilities.
Open to the suggestions from others.
Looks for ways to improve work processes and procedures.
Looks for ways to expand and learn new job skills.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks opportunities for continuous learning.
Demonstrate enthusiasm and a willingness to learn new skills and knowledge
Encourages employees to take courses relevant to their job.
Contributing fully to the extent of their skills
Seeks opportunities for professional development.
Persuasion and Influence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Seeks to obtain consensus or compromise.
Has excellent influencing/negotiating skills.
Develops a good rapport with others.
Able to express own goals and needs.
Persuades others to consider alternative points of view.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Suggests new ideas at meetings.
Offers constructive improvements to existing systems.
Implements best practices within the department.
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Systematically works to improve the organization
Follows-up and takes action when goals are not met to ensure better results in the future.
Accepts setbacks and challenges as improvement opportunities
Completes work to given time frame and to budget
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the functional or technical skills necessary to do their job.
Demonstrates the analytical skills to do their job.
Can be counted on to add value wherever they are involved.
Is planful and organized.
Produces high quality work.
Interpersonal Skills	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Strives for win/win solutions
Adapts management style to meet the needs of the individual or situation.
Creates an atmosphere that supports the open expression of ideas
Anticipates the concerns of other employees.
Successfully resolves conflicts and grievances to a win-win solution.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Tries to ensure employees are ready to move to the next level.
Encourages employees through recognition of positive changes in behavior.
Assigns tasks and responsibilities to develop skills of others.
Is open to receiving feedback.
Assesses employees' developmental needs.
Business Acumen	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Exhibits behavior that is consistent with the vision, mission, and core values of the organization
Able to align resources to meet the business needs of the company.
Asks the 'right' questions to size up or evaluate situations.
Applies the knowledge of work processes to influence the achievement of business goals
Considers impact of actions on other areas of the organization.
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Works in an organized manner
Able to identify the needs of the department before a major change.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Delegates role to team members to accomplish goals.
Makes plans and follows through.

56. Overall, please rate the effectiveness of .
    

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

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