THE HIGH PERFORMANCE LEADER ASSESSMENT
First Name
*
Last Name
*
Email
*
SECTION 1 — ABOUT YOU
What best describes your current role?
CEO / President / Founder
C-Suite Executive (COO, CFO, CMO, etc.)
VP / Director / Department Head
Business Owner / Entrepreneur
Athlete in Transition / Building a Second Career
Other
How many people do you lead or influence directly?
Just myself right now - I'm building toward's a leadership
1-5 people
6-25 people
26-100 people
100+ people
What is the #1 challenge you are facing right now? (choose the one that fits most)
I'm performing well but something feels off — success without fulfillment
I struggle with consistency — great days and bad days with no reliable system
My team doesn't operate at my level — I end up doing too much myself
I'm not communicating my ideas with the impact they deserve
I know what the next level looks like but I keep finding reasons not to go there
SECTION 2 — THE 5 TRAP DIAGNOSTIC
I regularly sacrifice personal health, sleep, or relationships for professional result.
*
Cannot do this at all
2
3
4
Can do this perfectly
My self worth is strongly tied to my output and level of achievement.
Cannot do this at all
2
3
4
Can do this perfectly
When I slow down or rest, I feel guilty — like I should be doing something productive.
Cannot do this at all
2
3
4
Can do this perfectly
People close to me have expressed concern about my work-life balance in the past year.
Cannot do this at all
2
3
4
Can do this perfectly
When I don't receive recognition or advancement, I question my own value.
Never true
2
3
4
Option 5
I perform differently when leadership is watching versus when they are not.
Never true
2
3
4
Always true
If I lost my current title or role, it would feel like losing who I am.
1 - Never true
2
3
4
5 - Always true
I struggle to maintain high standards when there is no external validation.
1 - Never true
2
3
4
5 - Always true
Never true
1
2
3
4
Always true
I focus more on how I appear in a room than on how others feel when they leave it.
1 - Never True
2
3
4
5 - Always true
I have been told I dominate conversations or make decisions without including others.
1 - Never true
2
3
4
5 - Always true
Service to others often feels secondary to achieving my own goals and visibility.
1 - Never true
2
3
4
5 - Always true
My team members seem hesitant to give me honest feedback or push back.
1 - Never true
2
3
4
5 - Always true
I have been surprised to learn that my actions or words affected someone negatively.
1 - Never true
2
3
4
5 - Always true
I lead mostly by instinct and personality rather than by intention and design.
1 - Never true
2
3
4
5 - Always true
I rarely ask the people I lead how they experience my leadership.
1 - Never true
2
3
4
5 - Always true
There is a vision or goal I have been putting off because I don't feel ready yet.
1 - Never True
2
3
4
5 - Always true
I stay in roles, routines, or situations that feel safe even when they no longer serve me.
1 - Never true
2
3
4
5 - Always true
I talk about what I want to achieve but rarely take the first step without certainty.
1 - Never true
2
3
4
5 - Always true
Fear of judgment or failure plays a bigger role in my decisions than I would like to admit.
1 - Never true
2
3
4
5 - Always true
SECTION 3 — OPEN QUESTIONS
If you could solve one thing in the next 90 days that would change everything — what would it be?
What would have to be true about a coaching relationship for you to call it the best investment you made in yourself this year?