LEADERSHIP COMPETENCY ASSESSMENT

Please Complete this form to submit your application. Your application won’t be admitted until you click the “Done” button at the end of this form.

Question Title

1. What is your relationship with the employee you are assessing? (Required.)

I am assessing myself

I am their direct report

I am their coworker

I am their direct manager

Question Title

2. What is the name of the employee you are going to assess? (Required.)

Question Title

3. Shows interest in others well being (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

4. A good team player and team-builder (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

5. Negotiates to achieve a win-win situation (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

6. Provides mentorship and supports to others (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

7. Demonstrates skills in listening and engaging others (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

8. Demonstrates humility (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

9. Performs well under stressful conditions (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

10. Demonstrates conflict management skills (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

11. Demonstrates willingness to learn and grow (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

12. Balances work and personal life (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

13. Follow policies and lead by examples (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

14. Comfortably and respectfully disagrees with others (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

15. Demonstrates ethical values in leadership (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

16. Ethical values are consistent regardless of the circumstances (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

17. Raises issues that others may be reluctant to raise (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

18. Thinks strategically and plans for the short and long-term (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

19. Communicates vision and purpose (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

20. Leads with passion (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

21. Performs outstandingly (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

22. Strives for excellence (Required.)

Never

Rarely

Sometimes

Often

Always

Question Title

23. What are the strengths or assets of the individual? (Required.)

Question Title

24. What areas of leadership will you like to see the individual improve on? (Required.)

Question Title

25. What other general feedback will you like to give to the individual relating to their leadership? (Required.)

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100% of survey complete.

LEADERSHIP COMPETENCY ASSESSMENT

Question Title

* 1. What is your relationship with the employee you are assessing? (Required.)

Question Title

* 2. What is the name of the employee you are going to assess? (Required.)

Question Title

* 3. Shows interest in others well being (Required.)

Question Title

* 4. A good team player and team-builder (Required.)

Question Title

* 5. Negotiates to achieve a win-win situation (Required.)

Question Title

* 6. Provides mentorship and supports to others (Required.)

Question Title

* 7. Demonstrates skills in listening and engaging others (Required.)

Question Title

* 8. Demonstrates humility (Required.)

Question Title

* 9. Performs well under stressful conditions (Required.)

Question Title

* 10. Demonstrates conflict management skills (Required.)

Question Title

* 11. Demonstrates willingness to learn and grow (Required.)

Question Title

* 12. Balances work and personal life (Required.)

Question Title

* 13. Follow policies and lead by examples (Required.)

Question Title

* 14. Comfortably and respectfully disagrees with others (Required.)

Question Title

* 15. Demonstrates ethical values in leadership (Required.)

Question Title

* 16. Ethical values are consistent regardless of the circumstances (Required.)

Question Title

* 17. Raises issues that others may be reluctant to raise (Required.)

Question Title

* 18. Thinks strategically and plans for the short and long-term (Required.)

Question Title

* 19. Communicates vision and purpose (Required.)

Question Title

* 20. Leads with passion (Required.)

Question Title

* 21. Performs outstandingly (Required.)

Question Title

* 22. Strives for excellence (Required.)

Question Title

* 23. What are the strengths or assets of the individual? (Required.)

Question Title

* 24. What areas of leadership will you like to see the individual improve on? (Required.)

Question Title

* 25. What other general feedback will you like to give to the individual relating to their leadership? (Required.)

1. What is your relationship with the employee you are assessing? (Required.)

2. What is the name of the employee you are going to assess? (Required.)

3. Shows interest in others well being (Required.)

4. A good team player and team-builder (Required.)

5. Negotiates to achieve a win-win situation (Required.)

6. Provides mentorship and supports to others (Required.)

7. Demonstrates skills in listening and engaging others (Required.)

8. Demonstrates humility (Required.)

9. Performs well under stressful conditions (Required.)

10. Demonstrates conflict management skills (Required.)

11. Demonstrates willingness to learn and grow (Required.)

12. Balances work and personal life (Required.)

13. Follow policies and lead by examples (Required.)

14. Comfortably and respectfully disagrees with others (Required.)

15. Demonstrates ethical values in leadership (Required.)

16. Ethical values are consistent regardless of the circumstances (Required.)

17. Raises issues that others may be reluctant to raise (Required.)

18. Thinks strategically and plans for the short and long-term (Required.)

19. Communicates vision and purpose (Required.)

20. Leads with passion (Required.)

21. Performs outstandingly (Required.)

22. Strives for excellence (Required.)

23. What are the strengths or assets of the individual? (Required.)

24. What areas of leadership will you like to see the individual improve on? (Required.)

25. What other general feedback will you like to give to the individual relating to their leadership? (Required.)