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Directions: Think about your role as a program leader (trainer, coach, mentor) when responding to the items below. This assessment was adapted from Perdue University’s ME Leadership Program. For each statement below, circle the number that indicates the degree to which you feel the statement is true. The purpose of this assessment is to reflect on your leadership skills so that you can identify your personal strengths and opportunities for growth.

1. I build relationships with others in order to reach a mutual goal.
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   2

   3

   4

   5
2. I am aware of my attitudes, values, biases, and prejudices.
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   2

   3

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   5
3. I engage in activities that build or improve my leadership abilities.
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   2

   3

   4

   5
4. I pay attention to how my language and behavior may be perceived by others.
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   2

   3

   4

   5
5. I consider of the ethical responsibilities that come with leadership.
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   3

   4

   5
6. I follow through on commitments I make.
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   4

   5
7. I am trustworthy.
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   5
8. I am able to sense the emotional undercurrents in my group.
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   3

   4

   5
9. I act in accordance with my words, e.g., “walk the talk.”
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   3

   4

   5
10. I lead by setting a positive example for others.
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    2

    3

    4

    5
11. I am resilient. When things don’t work out, I learn from it and bounce back.
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    2

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    5
12. I provide opportunities for others to be leaders.
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    5
13. I value that each person is different.
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    5
14. I reach out to include other people.
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    5
15. I listen carefully to understand what another person is saying.
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    5
16. To avoid misunderstanding, I ask questions to clarify what the other person is saying.
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    5
17. I say what I mean and mean what I say.
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    5
18. To get different perspectives, I ask for input from a wide range of people.
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    5
19. I seek feedback from others, even if it might be negative.
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    5
20. I initiate relationships with others.
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    2

    3

    4

    5
21. I value the contribution each person makes to a team.
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    2

    3

    4

    5
22. I help ensure that everyone is kept informed and information is shared freely.
    1

    2

    3

    4

    5

Adapted from: Purdue University ME Leadership Development Program. (2018). Leadership self-assessment.