Leadership Assessment Survey

Step 1 of 4

25%

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1. Please indicate your level of agreement with the following statements:

I respect others for their differences.*

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I ask for advice to improve my leadership/management.*

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In the past two weeks, I have worked on improving my team's dynamics.*

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I listen to ideas without judgement.*

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I consistently demonstrate a positive attitude toward the future.*

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2. Please indicate your level of agreement with the following statements:

I provide future advice to people to help them improve instead of telling them what they did wrong.*

Strongly disagree - 1	2	3	4	5	6	7	8	9	Strongly Agree - 10

I follow-through and hold myself accountable on executing on tasks.*

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I work toward shared goals with others.*

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I live the values I promote to others.*

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I stand for honesty and integrity.*

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3. Please indicate your level of agreement with the following statements:

I hold myself accountable for my actions.*

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My ideas and contributions are respected in my company.*

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In the past two weeks, I have appreciated someone's work.*

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People trust me.*

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How Likely Are you to Recommend your company to others.*

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4. Please let us know a little bit more about yourself to receive your results.

Name*

First Last

Company Name*

Seniority*

Email*

Phone*

Number of Employees*

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When do you expect to start with an Executive Coach?

How much do you expect to spend on Executive Coaching this year?*

What issue are you most trying to solve for? What is your one goal and/or objective this year?*

Comments

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