Leadership Success Factors

Evaluation Questionnaire 

This self-evaluation questionnaire helps leaders assess and obtain constructive and safe “360 degree” feedback and set in motion a professional development plan.  Groups that use this tool have gained substantial insight into how their leadership roles fit together (we can’t be good at everything!) as well as which success factors are most important to obtaining the desired results.  Contact us for details.

Suggestion: Before you begin this survey, decide on the scope of your assessment – are you rating just your work unit, your boss, a co-worker, or the entire organization?

If you need help, go back to the introduction.

Success Factor Satisfaction
(1-10)		 Importance
(1-10)		 Gap
(S minus I)		 Rank
(set priorities)
  1. INCLUSION: I’m directly involved in the decisions that affect my job
  1. RESPECT: My opinions and points of view seem to count.
  1. COOPERATION: Employees at all levels in the organization collaborate, working together as a team.
  1. AGREEMENT: I know what is expected of me (whether or not I fulfill those expectations).
  1. STEWARDSHIP: I have the necessary materials, tools, equipment and training … to do my work properly.
  1. INTEGRITY: We are committed to doing quality work, direct communication, and closing any gaps between “walk” and “talk.”
  1. LEADERSHIP: I have the opportunity to do my best work each and every day.
  1. ACKNOWLEDGEMENT: I receive adequate compensation, recognition and praise for my good work.
  1. CONTINUOUS IMPROVEMENT (kaizen): Mistakes are used for feedback and learning, not as a source of blame or as a sign of failure.
  1. MENTORING / COACHING: There is someone at work who encourages and guides my development.
  1. CONTRIBUTION: The mission of my organization make me feel like my work is important.
  1. COMMUNITY: I have a close friend or someone that I can really talk to at work; generally, I like and respect my co-workers.
  1. CHALLENGE: I have opportunities to contribute, learn and grow
  1. LIFE BALANCE: My supervisor (orsomeone at work), seems to care about me as a person, demonstrates flexibility.
  1. MOTIVATION: I have a compelling set of goals and targets that I feel are worthwhile.
  1. ALIGNMENT: As I achieve the goals of the company, I am also achieving my own goals.

   

Totals: Select 1-3 items that reflect strengths (smallest gap) and 1-3 areas for improvement (greatest gaps).

Strongest Areas 

Areas for Improvement

Once you’ve picked the top three strengths and areas for improvement, write your feedback, comments, or suggestions below.

Feedback (to yourself or us), Comments or Conclusions

If previously arranged, indicate the project code here  and send these results to us electronically (click on Submit), so we can act as a third-party “moderator.”  Individuals may want to print and score their responses before drawing any conclusions.