Employee Personal Effectiveness Survey for (Person's Name)

You've been asked to give your honest feedback in a personal survey for the person named above, who is your co-worker or acquaintance. Your answers will flow confidentially into a third party server with complete anonymity. They will be combined with answers from others and given to the person in a private report: neither their manager or anyone but them will see the results. This is your golden opportunity to help them develop, so be honest and helpful in your answers. You may use the N/A button for any questions that you do not feel you are qualified to answer.

Thanks Very Much

1. What is your relationship to this person you are rating?

Manager
Peer
His/her Direct Report
Customer
Self


As a Communicator....

2. Communicates clearly and effectively with others of any level in our division.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
3. Is a team-player: understands that personal success comes from team success.
4. Provides immediate feedback to management about appropriate issues
5. Communicates well in a team or group setting.
6. Shares knowledge appropriately with other people and organizations.
7. Listens effectively.


As a Team-player....

8. Handles conflict effectively.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
9. Easy to work with: I enjoy and benefit from my association with him or her.
10. Is a good team-player: establishes and maintains effective working relationships with employees of other internal organizations in Novell
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
11. Is a trust-builder: establishes and maintains relationships of trust in the division and beyond.
12. Contributes to discussions and participates fully in the team.


As a Problem-solver...

13. Innovates: finds new and creative solutions to sticky problems.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
14. Anticipates and stays on top of problems.
15. Works to improve new ideas rather than discourage them.


Gets Quality Results....

16. Drives for results: gets the job done efficiently and effectively.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
17. Is willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change.
18. Seeks to build quality into all processes.
19. Takes action without being prompted and seeks to do more than is required.
20. Gets the mission done within the time allotted.


Is Customer Focused....

21. Is customer focused: goes the extra mile to exceed customer expectations.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
22. Understands the requirements and expectations of internal and external customers, and performs consistent with this understanding.


Knows the Job....

23. Knowledgable, competent and skilled in all areas of responsibility, commensurate with time in position.
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
24. Stays current in his or her field: technically proficient and up-to-date
25. Makes constructive efforts to change and improve based on feedback from others.


As a Person of Character...

26. Avoids saying one thing and doing another (i.e. walks the talk)
Disagree Strongly Disagree Neither Agree nor Disagree Agree Agree Strongly N/A
27. Is consistent and reliable: comes to work in accordance with assigned schedule.
28. Keeps promises and honors commitments.
29. Works hard and earns their pay: does not waste too much time at work and stays focused
30. Is emotionally balanced: steady, pleasant under stress
31. Motivates and inspires others to a higher level of performance.
32. What do you consider to be his or her greatest strengths and assets to the division and the company?

33. What would you recommend he or she work on to improve this year that would have the greatest positive impact on the company or team?

34. What should he or she start doing that they now aren't doing?

35. What should he or she stop doing that they are now doing?

36. What do you like best about working with this person?


Please click the submit button only once to submit your answers. If you get a confirmation back you know your data made it in. If you do not, please call Kevin R. Miller at 801-916-7433.