Full name *

First name

First Name

Last Name

Date *

MM

DD

YYYY

1. My manager gives me actionable feedback that helps me to improve my performance:

Often

Sometimes

Seldom

Never

2. My manager does not 'micro manage' me (e.g. does not get involved in details that should be handled at other levels):

Often

Sometimes

Seldom

Never

3. My manager shares decision making power with me:

Often

Sometimes

Seldom

Never

4. My manager shows consideration for me as a person:

Often

Sometimes

Seldom

Never

5. My manager values the perspective I bring to the team, even if it's different from theirs:

Often

Sometimes

Seldom

Never

6. My manager communicates clear goals and keeps the team focused on priorities / results:

Always

Often

Sometimes

Seldom

7. My manager has had a meaningful discussion with me about my career development in the past six months:

True

Not true

Somewhat true

8. I'd recommend my manager to other people

True

Somewhat true