Leadership Coaching Survey After you fill in the survey, it will be sent to me, and I will get back to you within 24 hours to explore the fit and focus of what we might do together. You will automatically receive a copy of your answers by email. Name* First Last Email* Phone*InstructionsPlease rate yourself on a scale of one to five (1=disagree to 5=strongly agree) on each of the following statements.I exemplify my character through action in all areas of my life. 1 2 3 4 5 I make a positive lasting impression on others. 1 2 3 4 5 I communicate well inside and outside my organization. 1 2 3 4 5 I always search for ways to keep learning, growing, and improving. 1 2 3 4 5 I have the courage to let go of what’s familiar and forge ahead into new territory. 1 2 3 4 5 I listen to my “gut”, yet am open to the thoughts of others. 1 2 3 4 5 I focus on people’s strengths and have the ability to set organizational priorities. 1 2 3 4 5 I continually look for new ways to add value to others. 1 2 3 4 5 I am constantly looking for new opportunities. 1 2 3 4 5 I spend sufficient time listening to my team members, customers, competitors, and mentors 1 2 3 4 5 I wake up feeling enthusiastic about each day. 1 2 3 4 5 I am a “can do” person. I demonstrate a positive attitude on most issues. 1 2 3 4 5 I utilize a team approach to problem solving. 1 2 3 4 5 I develop and sustain strong relationships with co-workers and customers easily. 1 2 3 4 5 I am a hard worker and set a good example for others. 1 2 3 4 5 I take great pleasure in developing and seeing my team succeed. 1 2 3 4 5 I am known for the plans I develop and consistency in my follow through. 1 2 3 4 5 I am aware and supportive of people’s needs. 1 2 3 4 5 I admit my mistakes and apologize when appropriate. 1 2 3 4 5 I demonstrate a vision that attracts and unites people. 1 2 3 4 5 Δ