Name *

First Name

Last Name

Do you consider your current position to be a leadership role? *

Yes

No

Please select the answer below that best describes your current leadership experience (think back to include high school & college, in addition to the workplace):

Led / co-led a team(s) or committee(s) prior to joining the workforce

Currently leading a team / committee outside of my daily job

My advice is regularly sought by my manager / supervisor (Thought Leader)

Team leader / first-line supervisor

I am a mid-level manager in my organizationI

I am considered a senior / executive leader in my organization

Have you created a list of those (people or positions) you need to pull into your circle in order to fulfill your purpose, goals and objectives?

Yes

No

Started but not complete

What immediate feelings surface for you when confronting imposed change?

Another change?!

I seek to understand the reason

If logical to me, I can support right away

I embrace most change

I love change!

Using a scale of 1 (low) to 7 (high), rate the value you are getting for your / your company’s investment (time and money) in this Leader Spartanburg program?

1

1.5

2

2.5

3

3.5

4

4.5

5

5.5

6

6.5

7