Part 1 - Background Infomation
Use the Drop-down Box to Answer Each Question
1.)
Please select the name of the person you are evaluating.
Select Name
John Doe
2.)
Choose the item from the list that completes this statement.
(I am this person's _______?)
Peer
Supervisor/Mgr
Direct Report
Other
Self
3.)
Please type your name for adminstrative purposes. Your evaluation
will be strictly confidential. All evaluations are combined with at least
2 other responses and reported as a group.
Part 2 - Feedback
Click on the Button to Answer Each Question
A
Clarity of Direction
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
My immediate supervisor takes time to clarify
overall goals & objectives of our division/area
& relate them to my work.
2.)
This company has a clear set of corporate
goals & objectives that it is working toward.
3.)
Our division/area has a clear set of goals
and objectives that it is working toward.
4.)
I have clear expectations in the major
areas of my job.
5.)
Planning is effectively utilized in my
division/area.
Please use this space to add any comments you have
regarding Clarity of Direction
B
Decision Making
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
I trust corporate management's judgment in making decisions.
2.)
I trust my immediate supervisor's judgment
in making decisions.
3.)
Decisions can be made at all levels of the company.
4.)
In my division/area, once a decision is made, it is implemented.
Please use this space to add any comments you have
regarding Decision Making.
C
Organizational Integration
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
The people in my division/area share information
and resources with others in my division/area.
2.)
The people in my division/area share information
and resources with people in other divisions/areas.
3.)
Teamwork is a strength of this company.
4.)
I find the company newsletter informative and helpful.
5.)
I feel a quarterly newsletter is adequate.
6.)
I am encouraged to express my views, ideas,
and concerns.
Please use this space to add any comments you have
regarding Organizational Integration.
D
Management Style
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
Job assignments are made fairly by my
immediate supervisor or manager.
2.)
My relationship with my supervisor or
manager is based on trust.
3.)
I am treated with respect.
4.)
Top management wants to know what I think.
5.)
Incorporates new policies with a minimum of disruption.
6.)
This company encourages creativity and innovation.
Please use this space to add any comments you have
regarding Management Style.
E
Performance Orientation
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
My division/area places a premium on producing
high-quality work.
2.)
Management in this company is committed to
improving its performance.
3.)
In my division/area, employees are held
accountable for performing their jobs.
4.)
This company places emphasis on achieving results.
5.)
In my division/area, goals are set high
enough that they are challenging.
6.)
People in the company have enough time to
think about the important issues associated with this job.
Please use this space to add any comments you have
regarding Performance Orientation.
F
Organizational Vitality
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
This company is considered a innovator or
pacesetter among similar companies.
2.)
New ideas get talked about and are implemented
if they are good.
Please use this space to add any comments you have
regarding Organizational Vitality.
G
Compensation
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
Compared to other companies, my fringe
benefits are good (insurance, sick leave, 401k, vacation).
2.)
My total compensation compares favorably to
the total compensation for similar positions
in comparable companies.
3.)
Fringe benefits at this company are meeting my needs.
4.)
Salary increases are directly related to
employee performance.
5.)
Bonuses are directly related to employee performance.
6.)
Promotions are directly related to employee performance.
Please use this space to add any comments you have
regarding Compensation.
H
Human Resource Development
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
Employee complaints and problems are handled
fairly.
2.)
I was provided adequate training for my
present job.
3.)
Continuing education/training opportunities
are adequate for my job.
4.)
I know or can find out what I need to know
about my career opportunities at this company.
Please use this space to add any comments you have
regarding Humna Resource Development.
I
Organizational Image
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
This corporation is a good place to work.
2.)
The company has a good reputation.
3.)
Working for this company offers me an
opportunity for a very good future.
4.)
The work I do is enjoyable.
5.)
This company treats all employees fairly
without regard to race, sex, or age.
6.)
My immediate environment meets my needs.
Please use this space to add any comments you have
regarding Organizational Image.
J
Organizational Image - Part 2
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
I am convinced that this company has a
good long-term future.
2.)
I feel that the company is growing at an
appropriate rate.
3.)
This company operates in an ethical manner
at all times.
4.)
I am proud to be an employee of this company.
5.)
I enjoy working in my department/area.
6.)
The company places emphasis on safety.
Please use this space to add any comments you have
regarding Organizational Image.
K
Computer Technology
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
1.)
I have the computer hardware and software
tools needed to perform my job.
2.)
My computer and software are stable and
reliable.
3.)
I have received sufficient training or have
enough knowledge to effectively use my computer
and related software.
4.)
When I report a computer problem to Technet, I am
satisfied with the response I receive.
Please use this space to add any comments you have
regarding Computer Technology.
Section 5
What additional comments, observations or
suggestions would you like to make?