| | Never/Poor | Seldom/Fair | Usually/Good | Always/Excellent |
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| How available was he for you to meet with? | | | | |
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| Rate how fair he was in making decisions. | | | | |
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| How successful was he at challenging you to learn more about yourself & life? | | | | |
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| How well did he resolve problems? | | | | |
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| How understanding was he in dealing with you and your concerns and/or needs? | | | | |
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| Rate his leadership ability | | | | |
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