Leadership Feedback Form
Please let us know about your experiences. All questions are optional, but if you have feedback we want to know. If there is something that you are not receiving or unsatisfied with make sure to leave a possible solution that would satisfy this need for everyone.
Overall, how much do you enjoy working at Affinity Integrated Solutions?
Not at all
A little
A moderate amount
A lot
A great deal
How satisfied are you with career or business growth opportunities at Affinity Integrated Solutions?
Very Satisfied
Satisfied
Undecided
Unsatisfied
Very Unsatisfied
Would you recommend employment at Affinity Integrated Solutions to your friends or family?
Yes
No
What value does your leadership bring to you? How do they help you succeed? Feel free to just use titles if you do not want to use names i.e. RM, BM, VP...
How satisfied are you with your work-life balance?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not at all satisfied
How long has it been since your leadership rode with you?
How long has it been since your leadership took out someone in your market?
How long has it been since your direct supervisor was in your market?
Name the 3 people you would be likely to call for advice? It doesn't matter what their position is. Obviously, leave blank if your uncomfortable or you can just say the title without their name: example...RM, another BM or Senior Rep.
If you don't use names and only mention the titles of who you rely on please, specify if the title you listed is in your direct leadership or elsewhere
What does your direct leadership offer you to help your market? What are they doing well and what would you like to see them doing for you?
In regards to your direct leadership:
Rows
YES
NO
This person is well suited for the position they hold
1
2
This leader knows your strengths and weaknesses
3
4
You trust this leader and they trust you
5
6
You reply on his or her advise
7
8
You have become more productive because of this leaders influence
9
10
This leader has mentored or developed you to help you become a better leader
11
12
You could step into your leaders role because they have helped you prepare for it
13
14
You believe this leader and automatically give them the benefit of the doubt
15
16
You acknowledge this person as your leader
17
18
This person knows everyone on your teams
19
20
Please share any other comments you have below.
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