This anonymous survey should take less than ten minutes to complete. The Gulas Group will compile the results to determine which area; planning, priorities, communications, organization, desk management, or lifestyle will be highlighted for your presentation at your monthly meeting in March 2010.
| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Consistent Daily Planning | | | | | | | |
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| Consistent Montly Planning | | | | | | | |
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| Consistent Review & Clarity of Goals | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Written Daily Priorities | | | | | | | |
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| Written Monthly Priorities | | | | | | | |
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| Written Daily Accomplishments | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Ability to Deal With Interruptions | | | | | | | |
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| Ability to Rapidly Retrieve Information | | | | | | | |
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| Ability to Keep Track of Details | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Overall Organization | | | | | | | |
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| Focus and Concentration on Tasks | | | | | | | |
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| Activate E-Mail Into Calendar and Activities | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Controlling Clutter In Workplace | | | | | | | |
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| Finding Things (includes in computer) | | | | | | | |
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| In Box Empty at End of Every Day | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Balance Between Business and Personal | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Willingness to Let Go | | | | | | | |
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| Ability To Delegate Tasks | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Sense of Control | | | | | | | |
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| Stress Level | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| Proactive: Work on Important Not Urgent | | | | | | | |
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| Linking Daily Decisions to Values | | | | | | | |
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| Ability To Say NO | | | | | | | |
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| | Poor | Way Below Average | Below Average | Average | Above Average | Way Above Average | Excellent |
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| State Projects Opportunities Tasks Goals on Time | | | | | | | |
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| Finish Projects Opportunities Tasks Goals on Time | | | | | | | |
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