A sample survey is provided below for consideration. Random sampling, confidentiality, and a desire for improvement are essential tools when implementing such an instrument.
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1. How long have you worked with this individual?
Less than 1 year
1-2 years
3-5 years
6+ years
2. What is your relationship with this individual?
Teacher/Principal
Pastor
School Board Member
Peer (Associates)
3. Sets goals and timelines based on priorities.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
4. Promotes authentic, productive conversations in individual or group settings.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
5. Treats others with respect.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
6. Affirms meaningfully regarding strengths, character, or quality of work.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
7. Brings appropriate humor into encounters.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
8. Follows through on assignments and responsibilities..
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
9. Willing to make difficult decisions.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
10. Communicates effectively.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
11. Willing to delegate responsibility to others.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
12. Appears to enjoy a relationship with God, trusting in Him.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
13. Is committed to obeying and surrendering to God.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
14. Is calm and confident, comfortable with appropriate levels of risk.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
15. Appears self-aware, specifically of his or her faults, strengths, and weaknesses.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
16. Pursues professional growth through reading, training, or conferences.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
17. Takes personal spiritual retreats for introspection, growth, and renewal.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
18. Engages in a balance of recreation and play; takes regular vacations.
Don’t Know
Strongly Disagree
Moderately Disagree
Mildly Agree
Moderately Agree
Strongly Agree
Comments:
19. Where do you see the superintendent’s opportunities for growth?
20. Where do you see opportunities for growth in the NAD Office of Education?