Direct Report One-To-One Questionnaire
INSTRUCTIONS: Please complete appropriate sections and return to manager 24 hours prior to scheduled meeting time.
Enter Name:
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First Name
Last Name
Select Date
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Month
-
Day
Year
Date
Select Your Manager
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Keith Britton
Jeffrey Briscoe
David Alpha
Tim Martin
Julius Hudson
GOALS
Objective: To set meaningful standards to help ensure your growth as a contributing team member.
How are you currently feeling?
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Happy
Sad
Hurt
Energized
Confident
Depressed
Delighted
Good
Motivated
Focused
Upset
Frustrated
Vibrant
Dismayed
Determined
Inspired
Busy
Thoughtful
Successful
Inventive
Healthy
Sorrowful
Refreshed
Calm
Fair
Horrible
Dominating
Positive
Strategic
Innovative
Creative
Complex
Other
Do you need help managing any of your feelings above?
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YES
NO
If "YES", how can I help?
What goals have you accomplished since our last meeting?
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What key projects are you currently working on?
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What are your upcoming goals to accomplish by our next meeting?
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OBSTACLES
Objective: To pinpoint and resolve issues and concerns to ensure that your quality work-life balance is enhanced.
Have issues/concerns from our last meeting been resolved?
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YES
NO
I had no issues/concerns in our last meeting.
If "YES", how were the issues resolved?
If "NO", how can I support you in resolving the issues/concerns?
Any new issues or concerns we need to discuss since our last meeting?
*
YES
NO
If "YES", please describe below.
OPPORTUNITIES
Objective: To identify and take advantage of opportunities that will help to increase both your growth and development, as well as the company's.
How can the company or I support you in reaching your full potential?
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What can you do to support others in reaching theirs?
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In the next 30 days, what will you do to add value to the company?
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Do you know of any major long-term opportunities facing our company?
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YES
NO
If "YES", please provide information regarding this opportunity.
Do you currently know of anyone that the company should recruit that may add value to the company?
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YES
NO
If "YES", please provide their information below.
Please Provide: First and last name, phone number, and email address.
DECISIONS
Objective: To design a plan of action that will create a more developed decision making process in order to increase your strength as a team member.
How will you take advantage of opportunities within the company in the next 30 days?
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What important decision(s) or action(s) you are currently encountering?
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Submit
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