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Leadership Dimensions Questionnaire

Step 1 of 3

Team Member Name(Required)
Rate all on a scale from 1-5 with 1 being severely lacking and 5 being excellent.

All questions are in terms of residents unless specified for team member.

Mission Focus - Exemplifies core values of HIA

Please enter a number from 1 to 5.
Please enter a number from 1 to 5.
Please enter a number from 1 to 5.

Interpersonal Relationships

Please enter a number from 1 to 5.
Please enter a number from 1 to 5.
Please enter a number from 1 to 5.
Please enter a number from 1 to 5.
Please enter a number from 1 to 5.
Please enter a number from 1 to 5.