Self-Management - 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

Self Management	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Steps away from a situation to process appropriate response.
Analyzes own reactions on the spot to ensure that communication does not appear to be driven by anger.
Uses patience and self-control in working with customers and associates.
Does not allow own emotions to interfere with the performance of others.
Is aware of personal impact on others and adjusts behavior to create a positive leadership presence.
Professional Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Quickly acquire and apply new knowledge and skills when needed
Encourages employees to take courses relevant to their job.
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 professional development.
Punctuality	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Arrives to meetings on time.
Responds to requests for information in a timely manner.
Starts the workday when scheduled.
Invoices clients on a timely basis.
Avoids making personal phone calls during working hours.
Establishing Focus/Direction	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Makes sure that employees understand and identify with the team's mission.
Excellent at managing time.
Maintains self-control when personally criticized.
Functions well under stress, deadlines, and/or significant workloads.
Aligns the department's goals with the goals of the organization.
Decision Making	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Coaches team members individually when "poor" decisions are made; helps them see what could have been done differently
Breaks complex issues into manageable parts and organizes them in a systematic way before making decisions
Asks for additional information when making critical decisions.
Exercises good judgment by making sound and informed decisions.
Does not lose sight of the big picture when making decisions
Creativity	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Develops solutions to challenging problems.
Adds value to the department/organization.
Inspires creativity in their team.
Is creative.
Is creative and inspirational.
Innovation	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Builds upon the ideas and solutions of others.
Analyzes current procedures and identifies opportunities for improvement.
Challenges current procedures to develop other alternatives.
Implements best practices within the department.
Suggests new ideas at meetings.
Achievement	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Completes work to a high technical standard
Set high standards in their performance
Makes a plan for getting things done and drives execution of the strategic plan, actively supporting or leading initiatives to closure.
Demonstrates a well-organized and timely approach to achieve desired results
Completes work to given time frame and to budget
Excellence	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Demonstrates the analytical skills to do their job.
Demonstrates the functional or technical skills necessary to do their job.
Produces high quality work.
Takes a lot of pride in their work.
Is planful and organized.
Safety	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Keeps accurate safety records.
Ensures compliance with safety regulations.
Mitigates hazards and safety issues that arise.
Encourages others to attend safety training.
Encourages others to work safely.
Developing Others	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Provides constructive feedback to others.
Creates a work environment that fosters positive feedback to employees.
Encourages employees through recognition of positive changes in behavior.
Sets performance objectives for subordinates that encourages development opportunities.
Supports the successes of other employees.
Co-worker Development	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Adapts coaching and mentoring approach to meet the style or needs of individuals
Gives others development opportunities through project assignments and increased job responsibilities
Provides ongoing feedback to co-workers on their development progress
Sets and clearly communicates expectations, performance goals, and measurements to others
Planning	Needs Significant Improvement	Could benefit from Development	Capable and Effective	Role Model
Able to identify the needs of the department before a major change.
Anticipates potential challenges, develops plan to overcome them and then carries out the plan.
Makes plans and follows through.
Able to look ahead (beyond the present) when addressing the work/needs of the department.
Delegates role to team members to accomplish goals.

65. Overall, please rate the effectiveness of .
    

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

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