Presentation Leadership Feedback Form

Please fill the form carefully

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What value does your leadership bring to you. How do they help you succeed. Feel free to just use titles if you do not want to use names i.e. RM, BM, VP:

How satisfied are you with your work-life balance:

Very Satisfied
Satisfied
Undecided
Unsatisfied
Very Unsatisfied

How long has it been since your leadership took out someone in your market:

Name the 3 people you would be likely to call for advice. It doesn't matter what their position is. Obviously, leave blank if your uncomfortable or you can just say the title without their name: example...RM, another BM or Senior Rep:

What does your direct leadership offer you to help your market. What are they doing well and what would you like to see them doing for you:

In regards to your direct leadership:


	Yes	No
This person is well suited for the position they hold
This leader knows your strengths and weaknesses
You trust this leader and they trust you
You reply on his or her advise
You have become more productive because of this leaders influence
This leader has mentored or developed you to help you become a better leader
You could step into your leaders role because they have helped you prepare for it
You believe this leader and automatically give them the benefit of the doubt
You acknowledge this person as your leader
This person knows everyone on your teams

Please share any other comments you have below:

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Leadership Feedback