Executive Leadership Mindset Assessment Form
Assess executive leadership mindset, decision-making style, and development areas using the Executive Leadership Mindset Assessment Form.
Executive Profile
Full Name
*
First Name
Middle Name
Last Name
Job Title or Role
*
Organization / Company
*
Work Email Address
*
example@example.com
Leadership Mindset Assessment
Executive leadership dimensions rating
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Strategic thinking
1
2
3
4
5
Decisiveness
6
7
8
9
10
Adaptability
11
12
13
14
15
Communication
16
17
18
19
20
Accountability
21
22
23
24
25
Team empowerment
26
27
28
29
30
Emotional regulation
31
32
33
34
35
Long-term focus
36
37
38
39
40
Overall leadership effectiveness rating
*
Needs significant improvement
1
2
3
4
Exceptional
5
1 is Needs significant improvement, 5 is Exceptional
Leadership Scenarios and Development
Most common leadership challenge
*
Aligning diverse stakeholders
Driving accountability
Leading through ambiguity
Managing team performance
Change resistance
Delegation and follow-through
Other
Main leadership development goal or area for improvement
*
Reflection and Support Needs
Brief reflection on recent leadership decisions or experiences
*
Preferred support or development format
*
Coaching
Workshop
Peer discussion
Self-study
Mentoring
Leadership retreat
Other
Submit
Should be Empty: