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2017
April
O
Optimal Leadership Resilience Program
Optimal Leadership Resilience Program
0%
Questions marked with a
*
are required
Exit Survey
Please mark each of these areas using the 1 to 10 scale where 1 = satisfactory and 10 = excellent
1
10
*
1. How do you feel about your physical wellbeing?
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*
2. How do you feel about your diet and nutrition?
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*
3. How do you feel about your sleep quality?
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*
4. How do you feel about your energy levels?
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5. How do you feel about your level of calmness?
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*
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(a) Work
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(b) Social
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*
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1
10
*
(c) Domestic
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(d) Within self
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6. How do you feel about your optimal functioning – work?
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7. How do you feel about your optimal functioning - outside work?
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*
8. How do you feel about your interpersonal relationships – work?
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9. How do you feel about your interpersonal relationships - outside work?
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*
10. How you manage unhelpful emotions
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11. Rate your coping strategies
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*
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1
10
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12. Rate your ability to relax
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*
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13. Rate your ability for constructive self-reflection
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14. Rate your ability to be compassionate to yourself
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15. Rate your ability for compassion towards others
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16. Rate your ability to delegate tasks to others
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17. Rate your ability to provide effective line management
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18. Rate your ability to ask for help and support in difficult situations
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*
19. Rate how positively challenged you feel by your current role
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*
20. Rate how optimally challenged you feel by your current role
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Rate your contentment in the following areas from 1 (low) to 10 (high)
1
10
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1. Work
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2. Home
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3. Physical health
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4. Mental wellbeing
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5. Sense of overall achievement
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6. Work life balance
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7. Managing your schedule
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Section B: Do you have helpful habits? If so please list
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Do you have unhelpful habits? If so please list
*
How do you relax? Please list
Do you have helpful coping strategies? If so please list
*
What are your unhelpful coping strategies? Please list
*
Do you reflect on your actions and behaviours? If so please list how specifically you achieve this self-reflection
*
Do you feel compassionate to yourself? If so please list how you achieve this.
*
Do you feel compassion to others? If so please list how you achieve this
T
0845 601 4134
F
0845 601 4133
E
info
@theinsightnetwork.co.uk
w
ww.theinsightnetwork.co.uk
Please send all correspondence to: The
Insight Network, Keats House 24-26 St Thomas Street, London SE1 9RS
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