Initial Survey We are looking forward to working with you in the WE-Leadership Embodiment (LE) program. Please complete this survey to give us a baseline understanding on where you are with the leadership skills we cultivate in LE. Leadership Embodiment Participant Survey As you fill in the form, please use the scale: 1 = a little 3 = a moderate amount 5 = a lot Name* First Last Email* Leadership PresenceHow well can you influence others?*12345How comfortable are you taking risks?*12345How comfortable are you at allowing others to disagree with your plan of action?*12345Speaking UpHow comfortable are you at speaking up when you don't have all the info?*12345How comfortable are you at speaking up to your supervisors?*12345How comfortable are you at speaking up when others don't agree?*12345Receiving FeedbackWhen receiving negative (difficult) feedback, do you tend to criticize yourself?*12345When receiving negative (difficult) feedback, do you get annoyed and judge the other?*12345How well do you accept positive feedback and use it to inspire positive action?*12345When receiving negative (difficult) feedback, how often do you consider the circumstances (how much stress) of the person giving the feedback?*RarelySometimesAlwaysIndependent ActionIf you take action independently are you: (check all that apply)* Concerned at being criticized? Worried others won't approve? It's not done in this culture. Worried you might make a mistake or be wrong? NameThis field is for validation purposes and should be left unchanged.
