Intake 360 form

    Leadership Assessment Form

    Leadership Assessment Form






    Rating Scale

    • 1 - Strongly Disagree / Never Demonstrates

    • 2 - Disagree / Rarely Demonstrates

    • 3 - Neutral / Sometimes Demonstrates

    • 4 - Agree / Often Demonstrates

    • 5 - Strongly Agree / Always Demonstrates

    Communicates a clear and inspiring vision to their subordinates.

    12345

    States clearly their expectations for performance.

    12345

    Recognizes the efforts of others with appreciation and praise.

    12345

    Is willing to let go of the reins and trust others.

    12345

    Delegates responsibility.

    12345

    Inspires others and promotes a sense of innovation.

    12345

    Is a willing mentor in the career development of others.

    12345

    Provides others with opportunities to learn and grow.

    12345

    Appraises the performance of others in a timely manner.

    12345

    Coaches and counsels staff over rough spots and during difficult times.

    12345

    Supports their positions with solid evidence.

    12345

    Successfully influences the thinking of subordinates.

    12345

    Successfully influences the thinking of peers.

    12345

    Successfully influences the thinking of superiors.

    12345

    Creates a positive working environment with others.

    12345

    Treats others with respect.

    12345

    Deals fairly with everyone and doesn't play favorites.

    12345

    Demonstrates tact and sensitivity in dealings with others.

    12345

    Listens well.

    12345

    Keeps others informed; gives them the information they need to do a good job.

    12345

    Speaks clearly, correctly, and to the point.

    12345

    Writes clearly, correctly, and to the point.

    12345

    Expresses disagreement constructively.

    12345

    Resolves conflict with others effectively.

    12345

    Resolves conflict between others effectively.

    12345

    Is a decisive and effective disciplinarian without being offensive or antagonistic.

    12345

    Creates an environment where conflict can be discussed openly and facilitates solutions.

    12345

    Monitors projects closely; takes action to resolve problems before they're out of hand.

    12345

    Brings new ideas and opportunities to the attention of the company.

    12345

    Is a self-starter; makes things happen.

    12345

    Follows through on tasks and fulfills promises; achieves goals for job performance.

    12345

    Seeks partnerships and is an active member in promoting HR to the community.

    12345

    Makes good use of time; avoids wasting time.

    12345

    Sets personal goals for job performance.

    12345

    Establishes realistic budgets and timelines for assigned projects.

    12345

    Organizes their own work in an efficient manner.

    12345

    Distributes projects to staff accordingly.

    12345

    Learns from their mistakes.

    12345

    Seeks out opportunities to learn, grow, and improve

    12345

    Asks for feedback on their performance.

    12345

    Responds well to feedback received on their performance.

    12345

    Has the courage of their convictions.

    12345

    Says what they mean and means what they say.

    12345

    Willingly shares the spotlight with others.

    12345

    Maintains the highest ethics and moral code; demonstrates integrity and honesty.

    12345

    Is recognized by customers as a leading service provider in the company.

    12345

    Anticipates, identifies, and resolves problems in customer relationships.

    12345

    Provides distinctive customer service; adds value to customer businesses.

    12345

    Provides subordinates with the resources they need to serve customers exceptionally.

    12345

    Evaluates new opportunities and shares them with the team for implementation.

    12345

    Serves as a spokesperson for the team or agency in the larger community.

    12345

    Is a key contributor to the organization's vision.

    12345

    Has a high degree of technical expertise in their field.

    12345