Leader’s Name: Jake

Purpose Statement: This survey aims to gather feedback to help improve leadership within our company. Your responses are completely anonymous, and your honesty is highly valued.
Anonymity Assurance: No identifying information will be collected, and your feedback will only be used to improve leadership practices.

Your feedback is important in helping us recognize strengths and areas for growth. Please take a few minutes to share your thoughts.

1. When do you feel most appreciated by Jake as a leader? *

When my efforts are acknowledged

When I receive constructive feedback

When I am given new opportunities

Others:

Please explain: *

2. Can you share a moment when you felt truly supported by Jake? *

3. What’s one thing Jake does really well as a leader? *

4. Is there something you wish Jake did more often to make you feel valued? *

Give more recognition

Provide more guidance

Offer more growth opportunities

Others:

Please explain: *

5. What qualities do you admire most about Jake as a leader? *

6. How has Jake helped you grow professionally or personally? *

7. Can you recall a situation where you felt you could have done better with more guidance? *

8. How does Jake’s leadership style impact your motivation and confidence at work? *

Please explain: *

9. If there’s one piece of advice you could give Jake to be an even better leader, what would it be? *

10. What’s one thing you think Jake should continue doing because it positively impacts the team? *

11. What words of encouragement would you like to share with Jake? *

12. Do you feel comfortable sharing concerns or ideas with Jake? Why or why not? *

13. Is there anything else you’d like Jake to know about your experience working with her?