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	1	2	3	4	5
*Individual* (the target individual’s own performance in the role)	not observed	occasionally observed	most of the time	preferred behaviour	always
*Role* (the extent to which this attribute is demanded by the role)	not applicable	not important	quite important	important	critical

Survey begins here

		individual					role
Customer focus		1	2	3	4	5	1	2	3	4	5
A1	Identifies and promotes new business opportunities
A2	Establishes and maintains customer/stakeholder relations
A3	Ensures that the organization lives up to customer commitments
A4	Understands/manages internal customer relationships/partnerships
		individual					role
Strategic thinking		1	2	3	4	5	1	2	3	4	5
B1	Sees the big picture
B2	Thinks outside of the box
B3	Acts with curiosity and inquisitiveness
B4	Successfully formulates strategy
B5	Demonstrate a corporate mindset
		individual					role
Operational skills		1	2	3	4	5	1	2	3	4	5
C1	Translates strategy into specific objectives and action plans
C2	Demonstrates a risk-management mindset
C3	Delegates work and assigns clear accountability
C4	Demonstrates financial acumen
C5	Applies and adheres to the Code of Conduct
		individual					role
Results driven		1	2	3	4	5	1	2	3	4	5
D1	Shows organizational commitment
D2	Pursues goals with energy, persistence, and a sense of urgency
D3	Establishes challenging personal goals
D4	Establishes challenging goals for others
D5	Decisively deals with low performers
		individual					role
People leadership		1	2	3	4	5	1	2	3	4	5
E1	Communicates clearly and effectively
E2	Displays empathy
E3	Displays sound judgment with regard to people assessment
E4	Actively develops employees through feedback and coaching
E5	Develops high-performing teams
E6	Successfully leads change process
		individual					role
Self-management		1	2	3	4	5	1	2	3	4	5
F1	Exhibits self-awareness concerning personal strengths and weaknesses
F2	Has an open attitude to feedback
F3	Demonstrates strong personal integrity
F4	Shows personal courage
F5	Maintains emotional composure during times of stress, pressure, or disagreement
		individual					role
Staff skills		1	2	3	4	5	1	2	3	4	5
G1	Understands/manages internal customer relationships/partnerships
G2	Has a solid understanding of the business
G3	Uses business understanding to set priorities for staff's activities
G4	Communicates benefits of staff activities to line management
G5	Exhibits professional expertise
		individual					role
Leadership style		1	2	3	4	5	1	2	3	4	5
L1	(for definitions, see below)

	1	2	3	4	5
*Leadership style* (both Individual* and Role), where*	tells	sells	consults	shares	delegates
tells = solving problems for others sells = initiating ideas and selling them to others consults = asking others for their opinions and ideas, but taking the ultimate decision themselves shares = allocating responsibility to others within agreed parameters delegates = using a coaching style to encourage others to generate solutions and reach their own conclusions

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