Value Assessment Form
Name
*
First Name
Last Name
Email
*
example@example.com
Date
*
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Month
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Day
Year
Date
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Acquires skills quickly while using the resources available and seeks out resources if they are not readily available.
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1
1
2
3
4
2
5
1 is , 5 is
Looks for and presents solutions to problems.
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3
1
2
3
4
4
5
1 is , 5 is
How resourceful are you? Please rate your resourcefulness.
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5
1
2
3
4
6
5
1 is , 5 is
Give an example of how you embodied the Cielo value resourceful:
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What old behavior or habits are keeping you from mastering the value resourceful? What would someone do differently to master the value?
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EFFICIENT
Performs as efficiently as possible without jeopardizing quality; strives to increase productivity while maintaining a high level of quality.
Worst
1
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4
Best
5
1 is Worst, 5 is Best
How efficient are you? Please rate your efficiency.
Worst
1
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4
Best
5
1 is Worst, 5 is Best
Think about how fast your work production has been in the past. Where could you be faster?
Give an example of how you embodied company value efficient:
What old behavior or habits are keeping you from mastering the value efficient? What would someone do differently to master the value?
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EXCELLENT
Completes normal duties and special assignments thoroughly and accurately.
Worst
1
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4
Best
5
1 is Worst, 5 is Best
Speaks and writes clearly and concisely as it pertains to your work.
Worst
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Best
5
1 is Worst, 5 is Best
How excellent is your work product?
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1
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Best
5
1 is Worst, 5 is Best
Give an example of how you embodied company value excellent:
What old behavior or habits are keeping you from mastering the value excellent? What would someone do differently to master the value?
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ADAPTABLE
How good am I at shifting my sails and changing to match the changing environment?
Worst
1
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Best
5
1 is Worst, 5 is Best
Demonstrates commitment to cooperate with positive behavior. Acts promptly. Can be relied upon by supervisor(s) and co-workers.
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Best
5
1 is Worst, 5 is Best
Keeps an open mind and is excited to learn new ways to do the job.
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
How adaptable are you? Please rate your adaptability.
Worst
1
2
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4
Best
5
1 is Worst, 5 is Best
Give an example of how you embodied company value adaptable:
What old behavior or habits are keeping you from mastering the value adaptable? What would someone do differently to master the value?
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CREATOR MINDSET
Is driven by the opportunity to create your world in a positive way for yourself and the company
Worst
1
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Best
5
1 is Worst, 5 is Best
Does not put the blame others or outside circumstances for the inability to complete assignments or make progress.
Worst
1
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Best
5
1 is Worst, 5 is Best
Are you a creator? Please rate your ability to create your own reality.
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1
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Best
5
1 is Worst, 5 is Best
Give an example of how you embodied company value creator:
What old behavior or habits are keeping you from mastering the value creator? What would someone do differently to master the value?
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HARMONIOUS WIN-WIN APPROACH
Maintains harmonious working relationships and has positive attitude with supervisor(s), co-workers, customers and the public.
Worst
1
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Best
5
1 is Worst, 5 is Best
Brings positive energy to the work environment.
Worst
1
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3
4
Best
5
1 is Worst, 5 is Best
Are you generally a happy person? Please rate how well you bring a positive and upbeat attitude to the team and to the office.
Worst
1
2
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Best
5
1 is Worst, 5 is Best
Give an example of how you embodied company value Harmonious Win-Win Approach:
What old behavior or habits are keeping you from mastering the value Harmonious Win-Win Approach? What would someone do differently to master the value?
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