Mindful leadership questionnaire

Thank you for taking the time to complete this questionnaire.

Don’t over think it. There are no right or wrong answers, only what is true for you at this time.

Dr Sharn Rocco is the only person who will receive your completed questionnaire. She will treat your responses as strictly confidential. Your honesty and openness in answering the questions below are much
appreciated.

Mentoring for Mindful Leadership questionnaire

First

Middle

Last

Position title

Age

<39

40-49

50-59

60-69

>70

Prefer not to say

Salary pa:

<$75K

$75K-$89K

$90K-$109K

>$109K

Prefer not to say

Briefly describe your leadership style:

What would you most like to achieve as a workplace leader?

What are the biggest obstacles to you becoming the leader you want to be?

If you could wake up tomorrow having gained one quality or ability, what would it be?

If you could wave a magic wand and change one thing about your workplace culture, what would it be?

Briefly describe the life you would love:

What gets in the way of you loving the life you live?

Would you like to be notified when applications for open for ‘Mentoring for Mindful Leadership’?

Yes

Are you happy for Sharn to contact you to discuss your responses and ideas?

Yes

Mindful Works

Mindful Works courses, retreats, professional development and mentoring programs are designed to support you to open to life with greater calm, clarity and confidence.

Wherever you are, Mindful Works can work for you.

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