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   Indicate the degree to which the individual being rated demonstrates the listed competencies.   
   Then rank the importance of each competency.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
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Very
Important

Important

Not
Important

1.
Considers the effects of broad market forces on business.

2.
Willingly takes on new challenges.

3.
Always keeps the customer in mind.

4.
Anticipates future customer trends.

5.
Anticipates what needs to be done and does it.

6.
Asks for feedback.

7.
Behaves in a way that builds trust.

8.
Challenges self to improve.

9.
Responds well to the emotions of others.

10.
Recognizes where others are in the professional development process.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

11.
Coaches employees to ensure they are successful.

12.
Collaborates effectively with others.

13.
Works tirelessly to ensure customer satisfaction.

14.
Communicates a vision that motivates others.

15.
Aligns the team with the organization's goals and mission.

16.
Sets an example for professional behavior both social and interpersonal.

17.
Connects with people at all levels of the company.

18.
Accurately identifies his or her own strengths and weaknessess.

19.
Responds well to criticism.

20
Is self-confident.

 

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

21.
Is able to rally support for important initiatives.

22.
Creates partners to promote the performance of the entire organization.

23.
Delivers what is promised.

24.
Is able to clearly describe a problem.

25.
Demonstrates drive and hunger.

26.
Is capable of answering technical questions within his or her area.

27.
Demonstrates high personal standards.

28.
Knows when to use informal vs. formal corrective actions.

29.
Gets the right people on board to complete projects.

30.
Values people over production.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

31.
Is able to recognize his or her own emotional reaction to people, events and situations.

32.
Encourages employees to see themselves as leaders.

33.
Encourages innovation & risk taking.

34.
Exercises fiscal responsibility.

35.
Inspires employees to achieve exceptional results.

36.
Conveys a positive outlook.

37.
Is able to communicate a clear vision for their team.

38.
Is clear in delegating responsibilities.

39.
Is honest and trustworthy.

40.
Is open and candid with people.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

41.
Considers various perspectives when making decisions.

42.
Allocates equipment and resources appropriately.

43.
Knows how to get things done in the organization.

44.
Gives clear directions.

45.
Tailors communication style appropriately to different employees and situations.

46.
Focuses on developing the effectiveness of entire team.

47.
Makes ethical decisions when faced with conflicting choices.

48.
Manages self effectively.

49.
Adheres to the chain of command in solving problems.

50.
Is accessible to employees and subordinates.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

51.
Promotes needed changes.

52.
Empowers others to make decisions.

53.
Provides feedback that is accurate and helpful for improving performance.

54.
Puts business ahead of personal agendas.

55.
Puts the safe performance of the job first.

56.
Recognizes people for good performance.

57.
Is able to persuade others to adopt new points of view.

58.
Spends (prioritizes) time wisely.

59.
States opinions even if they might be unpopular.

60.
Strives for excellence by setting challenging goals.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

61.
Takes action before being forced to do so by events.

62.
Identifies relationships that are important to build and maintain.

63.
Continuously sets benchmarks to improve performance.

64.
Takes different units within the organization into consideration when making decisions.

65.
Provides opportunities for others to grow and contribute.

66.
Comes up with new ideas and solutions to recurring problems.

67.
Knows how to develop long range strategic plans.

68.
Can convince others that certain changes are critical to the benefit of the entire organization.

69.
Negotiates effectively with other units in the organization to get things done.

70.
Demonstrates an ability to manage multiple systems to achieve a coordinated result.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

71.
Is able to understand how others feel about a decision or situation.

72.
Demonstrates awareness of customer needs.

73.
Successfully manages the budget to insure that all jobs have adequate resources.

74.
Demonstrates the ability to utilize data from multiple sources to enhance operating effectiveness.

75.
Maintains key external business relationships for the organization.

76.
Listens to peers and subordinates ideas in order to improve overall processes.

77.
Knows when to become involved in a conflict and when not to.

78.
Is prepared to make difficult decisions.

79.
Is able to incorporate information from various sources and make the correct decision.

80.
Is able to use software and other technologies effectively.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

81.
Uses the best safety practices available.

82.
Successfully coaches employees through conflict in the workplace.

83.
Handles external pressure effectively.

84.
Identifies high potential candidates.

85.
Understands generational differences.

86.
Effectively utilizes available training resources for team development.

87.
Consistently meets performance goals.

88.
Prioritizes projects based on customer needs.

89.
Utilizes a framework for decision making that includes the policies and values of the organization.

90.
Collaborates with diverse co-workers.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

91.
Acts as a catalyst to a committee's decision making process.

92.
Demonstrates respect for employees at all levels of the organization.

93.
Is able to use conflict in groups effectively.

94.
Brings out the strengths in those around them.

95.
Demonstrates awareness of how his or her own actions effect the emotions of others.

96.
Focuses on identifying the root cause of safety incidents and not on placing blame.

97.
Holds meaningful and constructive safety meetings.

98.
Is a model for the use of safe work practices.

99.
Provides the necessary training and/or tools to safely perform the job.

100.
Promotes a culture of safety.

Very Strongly
Disagree

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Very Strongly
Agree

Very
Important

Important

Not
Important

101.
Plans to stay with the organization for more than five years.

102.
Is burned out by the job.

103.
Is satisfied with the job.

104.
Appreciates different ideas and perspectives.

105.
Consistently makes the effort to hear and reconcile diverse opinions.

106.
Overall, is an effective leader.

107.
Overall, is an effective communicator.

108.
Overall, has a high level of technical skill or expertise (e.g. transportatin, logistics, etc.).

109.
Overall, is an effective performer within the organization.

110.
Overall, is an exceptional performer when compared to others.

 

Please describe (in the boxes provided below) the Three Greatest Strengths of the individual being rated.  Each response may be as long as you like.  However, you must type one continuous paragraph without line breaks.  If you type a Carriage Return (the Enter Key) it will invalidate the entry.

If you do not wish to designate the candidates strengths, please scroll to the next section - Development Needs.

#1 Strength

#2 Strength


#3 Strength




Please specify (in the boxes provided below) Three Areas which you believe Need Development.

If you decide not to provide development recommendations, please scroll down to the Additional Information section of the form.



#1 Area for Development

 

#2 Area for Development

 

#3 Area for Development



Additional Information

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