What WE Did at Work Yesterday

Staff Self-assessment Worksheet

Please rate each of these statements based on the following five-point scale: circle

1 = highly disagree

2 = somewhat disagree

3 = neutral

4 = somewhat agree

5 = highly agree

1 2 3 4 5 I get 7 to 8 hours of good sleep daily

1 2 3 4 5 I feel fully rested when I wake up

1 2 3 4 5 I consistently take time to take care of myself

1 2 3 4 5 I have a high level of physical energy all day

1 2 3 4 5 I am able to focus and concentrate

1 2 3 4 5 I feel my physical energy stays high every afternoon

1 2 3 4 5 My work does not interfere with my home life

1 2 3 4 5 My home life does not interfere with my work

1 2 3 4 5 I feel balanced between my work and home life

1 2 3 4 5 I am passionate about my work

1 2 3 4 5 I feel positively challenged at work

1 2 3 4 5 I view work as an opportunity for growth, development, contribution

1 2 3 4 5 I feel happy and satisfied at work

1 2 3 4 5 I feel organized and mentally prepared to work each day

1 2 3 4 5 I feel sufficiently acknowledged and recognized

1 2 3 4 5 I feel supported in reaching my goals

1 2 3 4 5 I get along with my co-workers and colleagues

1 2 3 4 5 I am able to involve others in decisions when appropriate

1 2 3 4 5 I am open to the ideas of others

1 2 3 4 5 I do not gossip about others

1 2 3 4 5 I keep others informed of my progress in a timely fashion

1 2 3 4 5 I am able to openly and honestly express my opinions

1 2 3 4 5 My actions at work are consistent with my personal values

1 2 3 4 5 I treat all people with dignity and respect

1 2 3 4 5 My actions at work are consistent with the organizational values

What are your strengths?

What specifically might you do to be more effective?

Management Assessment Worksheet

Please rate each of these statements based on the following five-point scale: circle

1 = highly disagree/dissatisfied

2 = somewhat disagree/dissatisfied

3 = neutral

4 = somewhat agree/satisfied

5 = highly agree/satisfied

Managers/Management:

1 2 3 4 5 Consistently treats people with dignity

1 2 3 4 5 Asks people what they need to do their work better

1 2 3 4 5 Ensures that people receive the training they need to succeed

1 2 3 4 5 Provides effective coaching (direction and support)

1 2 3 4 5 Provides developmental feedback in a timely manner

1 2 3 4 5 Provides effective recognition for others’ achievements

1 2 3 4 5 Actively supports the development of future leaders

1 2 3 4 5 Builds people’s confidence

1 2 3 4 5 Takes risks in letting others make decisions

1 2 3 4 5 Gives people the freedom they need to do their job well

1 2 3 4 5 Trusts people enough to let go (avoids micromanagement)

1 2 3 4 5 Involves others in decisions when appropriate

1 2 3 4 5 Pushes decisions down to the appropriate level

1 2 3 4 5 Acts as a full partner with people to help them be successful

1 2 3 4 5 Asks people what he/she can do to improve

1 2 3 4 5 Genuinely listens to others

1 2 3 4 5 Accepts constructive feedback in a positive manner

1 2 3 4 5 Strives to understand the other person’s frame of reference

1 2 3 4 5 Encourages people to challenge the status quo

1 2 3 4 5 Demonstrates honest, ethical behavior in all interactions

1 2 3 4 5 Ensures that the highest standards for ethical behavior are practiced by all

1 2 3 4 5 Avoids political or self-serving behavior

1 2 3 4 5 Courageously “stands up” for what she/he believes in

1 2 3 4 5 Is a role model for living our organization’s values (lead by example)

1 2 3 4 5 Communicate a positive “can-do” sense of urgency in getting the job done

1 2 3 4 5 Holds people accountable for their results

1 2 3 4 5 I have complete trust in the management and leadership

What are management’s strengths?

What specifically can management do to be more effective?