Organization Assessment Form

Organization Authenticity Assessment

For each of the questions below you are to consider the degree to which you have thought, communicated and acted upon each item. If the item is something that you have not given any thought to then your response is toward “1”. If it is something that you have considered deeply and have made changes in your life so that the concept is fully integrated in your life then your response is toward “10”.

INNER VOICE – EMPLOYEES

1. INTUITION - The degree to which you listen to and value the voice of your team members. Are you listening to and respecting the voice of those who work with you?

1 2 3 4 5 6 7 8 9 10

I listen to what is important to me.

I listen and should put more value on team input.

I encourage my team members to share ideas.

2. INTEGRITY - Promoting company vision, mission and values. How company’s values are role modeled.

1 2 3 4 5 6 7 8 9 10

The company’s values are unclear.

Some teams reflect values, some do not.

The company’s values are integrated in its activities.

3. INSPIRATION – Organizational internal and external drive. How do you inspire your team members?

1 2 3 4 5 6 7 8 9 10

Haven’t thought about inspiring the team.

Plans are in process.

I implement a comprehensive plan.

OUTER VOICE – SELF & ORGANIZATION

4. NET WELLNESS - Comprehensive health of the company. What is the company’s overall health status?

1 2 3 4 5 6 7 8 9 10

The company’s health is challenged.

Our overall health continues to improve.

We are a healthy company.

5. NETWORK - The quality and quantity of strategic alliances. What are the company’s strategic alliances?

1 2 3 4 5 6 7 8 9 10

We have no alliances.

We have some alliances; gaining more.

Multiple alliances are integrated into company.

6. NET WEALTH - Sales and Marketing. The company’s sustainability

1 2 3 4 5 6 7 8 9 10

Our sustainability is unstable.

We are becoming more stable.

We are a stable and sustainable company.

EXPRESSIVE VOICE – SELF & TEAM

7. LEGACY - The degree to which the team member gifts, talents and skills benefit the team. Are you maximizing the gifts and talents of team members?

1 2 3 4 5 6 7 8 9 10

We do not acknowledge gifts, talents and skills.

We are seeking ways to maximize gifts, talents and skills.

Team member gifts are integrated.

8. LIKEABILITY - Active collaboration. Team members work together.

1 2 3 4 5 6 7 8 9 10

We do not cooperate.

Some cooperate, some don’t

Our cooperation is exemplary.

9. LIFESTYLE - Company day-to-day activities, procedures and patterns. Are the team’s habits consistent with its needs?

1 2 3 4 5 6 7 8 9 10

Practices are inconsistent.

Our practices are being established.

We have well established practices.

First Name

Last Name

INNER VOICE – EMPLOYEES

OUTER VOICE – SELF & ORGANIZATION

EXPRESSIVE VOICE – SELF & TEAM

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