Attitude and Mindset Program Questionnaire 1 Personal Information This questionnaire is intended to be used as a guideline to the attitude and mindset program to understand where you are in different areas before the start of the Leaders Retreat.Kindly take your time in answering the following questions thoroughly and honestly. Your answers will remain confidential and will only be shared with the Retreat Instructors.The questionnaire takes around 30 minutes to complete. Kindly submit it by 16:00 on the 28th of December, 2022. 1) NamePlease enter your full name 2) What is your Intention for joining the Master of Leadership and Management Leaders Retreat?0 / 3) What are your expectations from the Leaders Retreat?0 / 4) How do you feel about the coming year 2023 and Why?0 / In the following section, please rate each statement from 0 – 10.(0 meaning none at all/minimal and 10 being very much/maximum) & explain Why. 1) Rate your overall level of Energy0010 Why did you give this rating?0 / 2) How much responsibility do you take for your life?(ie. Responsibility for your actions, your mistakes, your growth, etc.)0010 WHY?0 / 3) What is your Distraction level?0010 WHY?0 / 4) What are your most recurring distractions?0 / 5) How much do they affect you/your performance?0010 WHY?0 / 6) How motivated are you?0010 WHY?0 / 7) How much are you “in touch” with your Team(s)?0010 WHY do you think this?0 / 8) Do you know your Team’s personal objectives for themselves?0010 WHY does this matter to you?0 / 9) How aware are you of your most important Values?0010 WHY are these your Values?0 / 10) How much difference do they create in your life?0010 HOW do they make a difference?0 / 11) To what extent do you have healthy, successful habits?0010 Name a couple of them:0 / 12) How consistent are you in your habits?0010 What keeps you consistent?0 / 13) To what extent do you address Obstacles?0010 WHY did you give this rating?0 / You have reached the end of the questionnaireThank you, the information will be used for Program structure purposes only Submit keyboard_arrow_leftPrevious Nextkeyboard_arrow_right FormCraft - WordPress form builder
