SA - Disruptify

STAKEHOLDER ALIGNMENT

First Name*
Last Name*
Job Title*
Company*
Email Address*
Number of Direct Reports*
1. Have you ever worked with an executive coach or personal coach?*
2. What have you always wanted to do but been afraid to try and why?*
3. If you were to start a company from scratch, what values would you build it on? List a minimum of 4, maximum of 6*
4. Name the four people you work with the closest (Not all direct reports):*
5. Starting with the first person, if I were to ask them what your vision is for your team and for you personally. Rate them on a scale between 1 and 5. A five (5) indicates that the person has a clear understanding of both you and your teams goals, and is actively helping you to achieve your vision. A one (1) indicates a person who lacks clarity or concern for any of your goals.*
Second Person:*
Third Person:*
Fourth Person:*
6. You listed your top values above that would serve as the foundation for starting your own business. Starting with the first person, if I were to ask them the same question, rate each person based on how closely they would match your values. Using a scale between 1 and 5: five (5) being a perfect match between your values and theirs, and a rating of one (1) would be zero alignment on any values that were listed.*
Second Person:*
Third Person:*
Fourth Person:*
7. Rate each person on their ability to leverage your strengths. A five (5) rating would indicate they know your value and strength to the business and help you to use your strengths to the fullest. A one (1) rating would indicate a person who doesn’t know or rarely leverages your strengths.*
Second Person:*
Third Person:*
Fourth Person:*
8. Rate each person on their predictability. A five (5) rating would indicate that when given ten things to do, they deliver 10 out of 10 times while anticipating the needs of the leader or team. A one (1) rating indicates a person who would need to be consistently reminded of deadlines.*
Second Person:*
Third Person:*
Fourth Person:*
9. Rate each person on a scale of 1-5 in terms of social interaction or engagement outside of work. A five (5) rating indicates that you actively seek time to spend with one another. A one (1) rating indicates you rarely see each other outside of work-related functions or daily business interactions.*
Second Person:*
Third Person:*
Fourth Person:*
10. What's keeping you from reaching balance across the various professional and personal roles you play?*
11. In your own words, what are the mission and vision of your company?*
12. In order of importance how do you prefer being rewarded, please write top to bottom (Renumeration, Respect, Recognition, Responsibility):*
13. How does the organization promote work-life balance for its employees?*
14. Which opportunities for learning new skills have you recently pursued (outside of the office)?*
15. What is the one thing about your products or services that you would improve?*
16. Is there any clarification you need about any of the questions that were just asked?*