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C12 Board Members Encouragement Index SelfAssessment How frequently do you typically engage in each behavior listed below? Carefully consider each of your major roles in scoring each behavior (business owner, spouse, parent). Fillin the number from the scale below that describes most accurately your response to each statement. ALMOST ONCE IN FAIRLY VERY ALMOST NEVER A WHILE OFTEN OFTEN ALWAYS 1 2 3 4 5 6 7 8 9 10 As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent As a business owner/CEO As a spouse As a parent TOTALS FROM PAGE ONE Business Owner/CEO Spouse Parent 8. I clearly communicate our values and professional standards (or marriage vision) to everyone on the team. 2. I express high expectations about what people are capable of doing. 3. I pay more attention to the positive things people do than the negative. 4. I personally acknowledge people for their contributions. 5. I tell stories about my team members’ (or spouse or children's) special achievements. 6. I make sure that our group (or family) celebrates accomplishments together. 7. I get personally involved when we recognize the achievements of others. RARELY SELDOM SOMETIMES OFTEN USUALLY 1. I make certain we set a standard that motivates us to do better in the future

C12 november 2014 self-assessment worksheet

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Page 1: C12   november 2014 self-assessment worksheet

C12 Board Members

Encouragement Index Self‐Assessment

How frequently do you typically engage in each behavior listed below? Carefully consider each of your major roles in scoring each 

behavior (business owner, spouse, parent). Fill‐in the number from the scale below that describes most accurately your response to 

each statement.

ALMOST ONCE IN FAIRLY VERY ALMOST

NEVER A WHILE OFTEN OFTEN ALWAYS

1 2 3 4 5 6 7 8 9 10

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

TOTALS FROM PAGE ONE

Business Owner/CEO

Spouse

Parent

8.  I clearly communicate our values and professional standards (or marriage vision) to everyone on the team.

2.  I express high expectations about what people are capable of doing.

3.  I pay more attention to the positive things people do than the negative.

4.  I personally acknowledge people for their contributions.

5.  I tell stories about my team members’ (or spouse or children's) special achievements.

6.  I make sure that our group (or family) celebrates accomplishments together.

7.  I get personally involved when we recognize the achievements of others.

RARELY SELDOM SOMETIMES OFTEN USUALLY

1.  I make certain we set a standard that motivates us to do better in the future

Page 2: C12   november 2014 self-assessment worksheet

C12 Board Members ‐ Encouragement Index Self‐Assessment PAGE TWO

ALMOST ONCE IN FAIRLY VERY ALMOST

NEVER A WHILE OFTEN OFTEN ALWAYS

1 2 3 4 5 6 7 8 9 10

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

TOTALS FROM PAGE TWO

Business Owner/CEO

Spouse

Parent

14.  I show others, by my own example, how people should be recognized and rewarded.

15.  I make it a point to give people feedback on how they’re performing against our agreed upon standards.

16.  I express a positive and optimistic attitude even when times are tough.

RARELY SELDOM SOMETIMES OFTEN USUALLY

9.  I let people know that I have confidence in their abilities.

10.  I spend a good deal of time listening to other people’s needs and interests.

11. I personalize the recognition I give to others.

12.  I find opportunities to let people (employees, spouse, children) know the ‘why’ behind whatever we’re doing.

13.  I hold special events to celebrate our successes.

Page 3: C12   november 2014 self-assessment worksheet

C12 Board Members ‐ Encouragement Index Self‐Assessment PAGE THREE

ALMOST ONCE IN FAIRLY VERY ALMOST

NEVER A WHILE OFTEN OFTEN ALWAYS

1 2 3 4 5 6 7 8 9 10

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

As a business owner/CEO

As a spouse

As a parent

TOTALS FROM THIS PAGE

Business Owner/CEO

+ Spouse

+ Parent

+TOTALS FROM PAGE ONE

+ + +TOTALS FROM PAGE TWO

= = =

BOSS SPOUSE PARENT

GRAND TOTAL

18.  I find creative ways to make my recognition of others unique and special.

17.  I get to know, at a personal level, the people I work with (or am married to or parent of...).

USUALLYOFTENSOMETIMESSELDOMRARELY

21.  I personally congratulate people for a job well done.

20.  I find ways to make the workplace enjoyable and fun.

19.  I recognize people more in public than in private for their exemplary performance.