HHS Evaluations - Prep & Position

Thank you for your work with Davie County’s Health and Human Services. As a part of our leadership training planning, leaders in the HHS department will participate in a 360 assessment with your leadership peers.

All submissions are confidential, and anything you submit about a peer will remain completely anonymous. Please take a moment to complete the form below for yourself and each of the division leaders and the department head.

If you have any questions, please contact Chuck Taylor at (336) 734-9476 or at chuck@prepandposition.com.

Choose for whom are you submitting an evaluation.

Is this a self evaluation?

Yes

Communication Skills

1. This person communicates clearly and effectively.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person doesn’t withhold information but shares with others openly.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person clarifies messages before beginning a task.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person regularly practices active listening skills.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person is tactfully candid about issues that need to be resolved.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person receives feedback well from others.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person gives constructive feedback to others.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person is neither non-threatening nor judgmental.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person is able to communicate clear expectations.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person uses multiple communication mediums to share information, so everyone has the opportunity to stay informed about relevant issues within the department.

1 – Not at all

10 – Absolutely

Not Applicable

Time Mangement

1. This person completes tasks and assignments on time.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person communicates in a timely fashion.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person can be counted on to do what they say they will do when they say they will do it.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person is able to effectively monitor the progress of goal completion.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person is able to stay focused on the work that really matters.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person does not engage in distractions that unnecessarily consume their attention.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person can set reasonable timelines for project completion.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person is on time for appointments and meetings.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person manages meetings well, starting and finishing on time.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person stays on task and helps others do the same.

1 – Not at all

10 – Absolutely

Not Applicable

Employee Engagement

1. This person has great rapport with other leaders in the department.

1 – Not at all

10 – Absolutely

Not Applicable

2. The staff in this person’s division support them as a leader.

1 – Not at all

10 – Absolutely

Not Applicable

3. The staff in this person’s division are engaged and ready to work.

1 – Not at all

10 – Absolutely

Not Applicable

4. The staff in this person’s division work hard to help this leader achieve division goals.

1 – Not at all

10 – Absolutely

Not Applicable

5. The staff in this person’s division are focused and motivated to get good results.

1 – Not at all

10 – Absolutely

Not Applicable

6. The staff in this person’s division are energized to find creative solutions that achieve division goals.

1 – Not at all

10 – Absolutely

Not Applicable

7. The staff in this person’s division are resourced with the tools to accomplish projects well.

1 – Not at all

10 – Absolutely

Not Applicable

8. Employees enjoy working for and with this person.

1 – Not at all

10 – Absolutely

Not Applicable

9. The staff in this person’s division stay on task.

1 – Not at all

10 – Absolutely

Not Applicable

10. The staff in this person’s division take initiative to get the job done.

1 – Not at all

10 – Absolutely

Not Applicable

Leadership Skills

1. This person understands Davie County’s Vision and consistently works towards achieving it.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person’s work consistently reflects Davie County’s Mission.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person has a plan for success and actively seeks to help others succeed as well.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person isn’t a pushover or fearful as a leader.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person consistently gets good results for the work they do.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person acts with integrity and is trustworthy.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person is fair and reasonable.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person inspires others to improve their work performance.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person knows how to effectively delegate.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person trusts the decisions of their staff and doesn’t attempt to control their work styles.

1 – Not at all

10 – Absolutely

Not Applicable

11. This person strategically develops good leaders.

1 – Not at all

10 – Absolutely

Not Applicable

12. This person is always seeking ways to better improve their leadership skills.

1 – Not at all

10 – Absolutely

Not Applicable

13. As a leader, this person is assertive but not aggressive.

1 – Not at all

10 – Absolutely

Not Applicable

14. This person works hard and expects the same from their staff.

1 – Not at all

10 – Absolutely

Not Applicable

15. This person inspires you to be a better leader.

1 – Not at all

10 – Absolutely

Not Applicable

Conflict Management/Resolution

1. This person is not afraid to address conflict head on.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person is open to constructive criticism.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person works to make their environment safe from arguments and unnecessary conflict.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person provides clear expectations to limit confusion in the workplace.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person follows the chain of command when there is an issue that needs to be addressed.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person is quick to point out positive behaviors.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person praises hard work and professional achievements.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person models the behaviors of a healthy professional.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person provides feedback that inspires growth and engagement.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person doesn’t rebuke others in public, but rather handles hard conversations in one-on-one settings.

1 – Not at all

10 – Absolutely

Not Applicable

11. This person doesn’t engage in gossip.

1 – Not at all

10 – Absolutely

Not Applicable

12. This person sets aside time to get to know their employees and coworkers well.

1 – Not at all

10 – Absolutely

Not Applicable

13. This person actively works to resolve conflict in order to strengthen the bond of their teams.

1 – Not at all

10 – Absolutely

Not Applicable

14. This person is honest and forthright about issues ensuring changes can be made before conflict arises.

1 – Not at all

10 – Absolutely

Not Applicable

15. This person doesn’t yell at or demean their staff or peers.

1 – Not at all

10 – Absolutely

Not Applicable

Job Performance

1. This person consistently completes their work.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person fully understands the implications of their decisions on the department.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person actively shares information with others ensuring the group can meet deadlines.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person collaborates with others well.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person plans well and is organized.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person is able to effectively plan for, manage, and disburse their budget as needed.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person understands and keeps staff focused on the big picture, in order to achieve department goals.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person is good at setting and fulfilling professional goals.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person exemplifies the IPLEDGE values in their work.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person meets reasonable expectations set for them.

1 – Not at all

10 – Absolutely

Not Applicable

Scope of Knowledge

1. This person has a strong grasp of their work duties and responsibilities.

1 – Not at all

10 – Absolutely

Not Applicable

2. This person is knowledgeable about other county, regional, state, and federal resources.

1 – Not at all

10 – Absolutely

Not Applicable

3. This person is an effective teacher within their scope of knowledge.

1 – Not at all

10 – Absolutely

Not Applicable

4. This person is able to convert knowledge into the skills needed for the job.

1 – Not at all

10 – Absolutely

Not Applicable

5. This person is knowledgeable enough to find solutions to problems that arise in their work.

1 – Not at all

10 – Absolutely

Not Applicable

6. This person can use all the resources available to them to accomplish their goals effectively.

1 – Not at all

10 – Absolutely

Not Applicable

7. This person knows both the tools needed to do their work and how to use those tools well.

1 – Not at all

10 – Absolutely

Not Applicable

8. This person has a strong understanding of the county’s strategic plan.

1 – Not at all

10 – Absolutely

Not Applicable

9. This person has such a vast knowledge of their work that they would be hard to replace.

1 – Not at all

10 – Absolutely

Not Applicable

10. This person knows the legal and social ramifications of their decisions.

1 – Not at all

10 – Absolutely

Not Applicable

What else would you like to say about this person?