Leadership Assessment Survey from Louis Carter | Louis Carter is executive coach and strategic advisor to Fortune 500 organizations

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1. Please indicate your level of agreement with the following statements:
I respect others for their differences.*
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I ask for advice to improve my leadership/management.*
1 2 3 4 5 6 7 8 9 10
In the past two weeks, I have worked on improving my team's dynamics.*
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I listen to ideas without judgement.*
1 2 3 4 5 6 7 8 9 10
I consistently demonstrate a positive attitude toward the future.*
1 2 3 4 5 6 7 8 9 10

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2. Please indicate your level of agreement with the following statements:
I provide future advice to people to help them improve instead of telling them what they did wrong.*
Strongly disagree - 1 2 3 4 5 6 7 8 9 Strongly Agree - 10
I follow-through and hold myself accountable on executing on tasks.*
1 2 3 4 5 6 7 8 9 10
I work toward shared goals with others.*
1 2 3 4 5 6 7 8 9 10
I live the values I promote to others.*
1 2 3 4 5 6 7 8 9 10
I stand for honesty and integrity.*
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3. Please indicate your level of agreement with the following statements:
I hold myself accountable for my actions.*
Strongly disagree - 1 2 3 4 5 6 7 8 9 Strongly Agree - 10
My ideas and contributions are respected in my company.*
1 2 3 4 5 6 7 8 9 10
In the past two weeks, I have appreciated someone's work.*
1 2 3 4 5 6 7 8 9 10
People trust me.*
1 2 3 4 5 6 7 8 9 10
How Likely Are you to Recommend your company to others.*
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4. Please let us know a little bit more about yourself to receive your results.
Name*
First Last
Company Name*
Seniority*
Email*
Phone*
Number of Employees*
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When do you expect to start with an Executive Coach?
How much do you expect to spend on Executive Coaching this year?*
What issue are you most trying to solve for? What is your one goal and/or objective this year?*
Comments
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