First Name *

Last Name *

Email *

Organization *

How many employees are in your organization?

How many employees report to you directly?

Press NEXT to Evaluate your Company's Employee Engagement.

There will be 10 total questions.

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

Our Company Vision and Mission is defined, we know where we are going and why we are going there *

Please feel free to include any comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

Our annual goal is aligned with our Company Vision (achieving our goal helps us achieve our Vision) *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

Our organizational team structure has been designed to achieve this Vision *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

My team understands and is aligned with our Company's Vision *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

I have the right people on my team to achieve our goal *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

As a leader, I know what activities my team must do to achieve their professional goals and have communicated it well *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

Your team members would say they feel supported and empowered in their efforts to achieve their professional goals *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

My team is motivated and on track to achieving (or exceeding) their annual goal *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

My team understands how their success in their role will allow them to achieve their personal goals *

Comments (not required)

On a Scale from 1 to 5,

1 being "Not at all sure",

5 Being "Couldn't be more positive",

Please rate yourself on the following statement:

As a leader, I know my team member's personal life goals *

Comments (not required)