EmailMe Form - Invited External Feedback (IEF) Leadership

Client Name: *

First Last

I understand that my answers will be kept confidential. In fact, the client will not know I submitted this feedback unless I choose to tell her/him. Only general summaries will be provided to the client. *

Yes

I understand that my answers can be subjective and based on my personal feelings or sentiments. Even if I may be wrong, it is important for me to share my opinions so that the client can be coached and encouraged to improve. *

Yes

Your Name:

First Last

Your Phone:

### - ### - ####

Your Email:

May we contact you in the event we have important questions?

Yes

No, I'd rather not be contacted

What is your current or past relationship with our client? *

The client is my direct employee

The client is in my chain of command

The client is an employee in our organization

I am a coach or mentor

I know the client

I do business with your client

How often do/did you interact with our client in a professional setting? *

All the time

Often

Sometimes

Rarely

How often do/did you interact with our client in a personal or recreational setting? *

All the time

Often

Sometimes

Rarely

Your Perceptions

Based on your direct experience and observations, please tell us how much you agree or disagree with the statements listed below:

Is easy to respect: *

Is effective in a variety of settings and circumstances: *

Brings out the best in others: *

Exercises self-control and is not burdened by inappropriate impulses: *

Communicates with intention: *

Is *

The client has the ability to negotiate competing interests and arrive at mutually acceptable agreements. *

The client considers and weighs relevant evidence when making decisions. *

The client is appropriately ambitious but not to the extent that the interests of others are forgotten or ignored. *

The client is willing to disagree or engage in healthy conflict as a way to facilitate progress. *

The client is approachable and able to connect with others in a variety of situations or circumstances. *

The client is appropriately transparent and willing to share with others the rationale for her/his decisions. *

The client is comfortable admitting when he/she is wrong and can do so without a loss of confidence or effectiveness. *

The client is able to prioritize competing interests while keeping the team focused on core values and objectives. *

The client is able and willing to put the good of others above the good of her/himself. *

The client genuinely seeks the buy-in of employees or team-members when presenting ideas or solutions. *

The client is willing to let go of previous goals or ideas if someone else presents better options. *

The client is willing to grant dissenting viewpoints an opportunity to be heard, even when they significantly deviate from her/his own. *

The client is willing to delay acting on her/his ideas or directions when the timing may not be right. *

When circumstances require it, the client is willing and able to speak and act boldly and decisively. *

What thoughts or feelings, if any, occurred to you while answering the above questions?

In what areas do you think our client should work most to improve?

What do you appreciate most about our client?

If you could give our client just one piece of advice, what would it be?