P. Sherry Consulting

Emerging Leadership Assessment

- Instructions -

This survey must be completed by a person expressing their own attitudes regarding his or her experiences of Inclusiveness in their organization.

A response must be given for the Identifying Information, all 10 questions and the Demographic Information that follows the questions. Please note that in the full/live survey no indentifying information will be requested or collected. The full survey is anonymous.

At the end of the form be sure to click the 'submit' button.

Identifying Information

For purposes of verifying your identity and collating your responses

please provide the following information about yourself:

First Name:
Last Name:
What is your Company?
What is your Employee e-mail address:
Please enter your Employee ID (including leading zeros if any). This ID will be used to identify you in order to provide feedback reports and analysis:

Please enter any comments which you feel are relevant to your experience of Inclusiveness in your Workplace!

Demographic Information

FORM SUBMISSION

Thank you for taking the time to answer the questions in the self-assessment.

By clicking the SUBMIT FORM button your responses will be submitted for analysis.

To erase this form and start over. Press the Clear Form button.

Please Note: This will Delete Everything you have entered on this page.

Thank you for completing this assessment!!!

		Very Strongly Disagree	Strongly Disagree	Disagree	Agree	Strongly Agree	Very Strongly Agree
1.	Gathering input from all sources is essential to making a good decision.
2.	I provide detailed instructions on how to accomplish a task.
3.	Speedy and immediate consequences for lack of progress is the best way to manage performance issues.
4.	I vary my style according to the needs of my employees.
5.	I don’t believe in telling people how to accomplish a task, I let them figure that out for themselves.
6.	I expect my direct reports to work with each to find solutions regardless of my direction.
7.	I consult regularly with my direct reports to come up with new ideas and suggestions about how to proceed with our plans.
8.	Inspiring every one of my team members to work hard to accomplish a common goal is an important part of my management style.
9.	I try to present a clear vision of where we are going and know that everyone on the team will follow.
10.	I lead by example.

	Caucasian	Bi-racial	Hispanic, Latino/a	African-American	Asian or Pacific Islander	American Indian or Native Alaskan	Multi-racial	Other specify below
Which of the following categories best describes your race or ethnicity?

FORM SUBMISSION

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