Dear colleague,

I am doing a class assignment that needs me to assessmy personal leadership at work

place. I have kindly selected you to assist me by answering the questions provided.
Please feel free, the answers provided are treated confidential and used for only
academic purposes.
Thank you
SECTION I: BACKGROUND CHARACTERISTICS
i.

Gender:

ii.

Age: Below 19 ( ), 20 39 ( ), 40 59 ( ), 60&Above ( )

iii.

For how long have you been an employee of New Vision

a.
b.
c.
d.

male

female

Less than 1 Year

Less than 3 Years
Less than 5 Years
More than 5 Years

iv.

Which department are you attached to

v.

Have I ever Supervised you (Tick where appropriate)

a. Where you directlyreport to me?
b. Where you indirectly report to me?

Yes
Yes

No
No

SECTION II: My Personal Leadership Behaviour

(Please tick your appropriate answer)
NO
.
1
2
3
4

5
6
7
8
9
10
11
12

PERSONAL STATEMENT

I am passionate about achieving success in this

business
I have high levels of energy and enthusiasm
I am genuinely concerned about the welfare of my
subordinates and superiors
I take proactive measures to create a positive working
environment for my subordinates and superiors
I make a conscious effort to be open and honest with
my subordinates and superiors
I work hard at seeing things from other peoples
perspectives
I always try to be objective when dealing with my
subordinates and superiors
I have excellent levels of self-control and can prevent
individuals, or situations from making me act in a way
which I later regret
I am competent at what I do and I have a strong
understanding of both our industry in general and our
business in particular

14

I am good at analyzing problems and finding creative

ways of improving how we do things
I am consistent in my behaviour and approach and I do
not change what I think, or want from one day to the
next

16
17
18
19

Disagree

I genuinely believe that my subordinates and superiors

are stakeholders in the business:
I understand our company vision and mission and
regularly communicate this to my subordinates and
superiors:
I am strongly committed to the business and to my
subordinates and superiors
I am highly self-motivated and can raise my
performance, even when I dont necessarily feel like
doing so:

13

15

Strongly
Disagree

I am approachable and willing to listen to my

subordinates and superiors concerns
I dont let things at work get me down and I always try
to see the bright side of things
I can build trust between myself and other people
I work hard to meet my commitments to my
subordinates and superiors and colleagues

Thank you
2

Not sure

Agree

Strongly
Agree