Take 7 minutes to complete the following assessment. You will see your results upon completion. 

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1. What is your first and last name? (Required.)

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2. Email address for results (Required.)

How well do you balance your work/life? On a scale of 1-10, answer the statements below:

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3. On a scale of 1-10, answer the statement below:

I regularly participate in hobbies or interests outside of work

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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4. On a scale of 1-10, answer the statement below:

I make time for everything I want to

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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5. On a scale of 1-10, answer the statement below:

I have enough time to spend with my loved ones

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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6. On a scale of 1-10, answer the statement below:

When I'm at home, I feel relaxed and comfortable, not worried about work

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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7. On a scale of 1-10, answer the statement below:

I use all my allotted vacation days

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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8. On a scale of 1-10, answer the statement below:

I rarely miss out on important family events because of work

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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9. On a scale of 1-10, answer the statement below:

I rarely think about work when I'm not working

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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10. On a scale of 1-10, answer the statement below:

My family is rarely upset with me about how much time I spend working

0 (I completely disagree) neutral 10 (I completely agree)
Clear
i We adjusted the number you entered based on the slider’s scale.

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11. How well are you managing your time?

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12. How many off work hours do you spend working a week?

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13. How often do you send emails at night to yourself and/or team members?

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14. How does your day's productivity usually look?

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15. Do you feel that you are the only person on your team that can do the tasks that you do?

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16. Does your day feel like it's filled with back-to-back tasks?

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17. How cluttered is your desk?

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18. Does the amount of email in your inbox stress you out?

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19. Do you utilize a to-do list daily?

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20. On average, how many tasks are on your to-do list daily?

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21. How many tasks have you continuously pushed off because you just can't get to them?

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22. Do you experience fear when you think about removing tasks from your to-do list and spending more time on leading your team? 

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23. How much do you fear that without your daily tasks you will not be needed in the company?

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24. So you agree with this statement - "If I give up my daily tasks, I am not significant."

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25. How would you rank your current leadership abilities?

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26. Do all of your leaders/team members have their KRAs?

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28. How task saturated is your team?

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29. How well do you delegate to your team?

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30. How effective are your team meetings?

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31. How well do team members execute the action steps after a meeting?

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32. How many hours on a weekly basis is being eaten up by interruptions from your team members and or customers?

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33. How much time do you spend on a weekly basis to intentionally grow your team?

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34. In a typical year, about how much time do you spend growing you as a leader?

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35. How many leadership retreats do you attend in a year?

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37. Do you set healthy boundaries with team members? (ex. not allowing someone to control you, manipulate you.)

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38. Do you set healthy boundaries with customers?

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