Leadership Feedback

This brief feedback form helps identify which leadership behaviors may create the greatest positive impact on results, execution, accountability, and team effectiveness.

Leader Name

Organization

Your Relationship to the Leader

Leadership Practice Ratings

Rate the leader’s current effectiveness in each area.

7-Point Scale Guide

Rating	Descriptor
1	Strongly Disagree / Very Ineffective
2	Disagree / Ineffective
3	Slightly Disagree / Somewhat Ineffective
4	Neutral / Inconsistent
5	Slightly Agree / Generally Effective
6	Agree / Effective
7	Strongly Agree / Highly Effective

Clarity

Accountability

Communication

Coaching

Decision Ownership

Execution

Trust

Adaptability

Open Feedback

What leadership strength helps this leader create positive results?

What leadership behavior would create the greatest positive impact if strengthened?

Where does execution, ownership, or accountability tend to break down?

What is one action this leader could take in the next 30 days?