Kelm Academy: PINACLES

How to complete the questionnaire

Participant Name Date

SELF-AWARENESS QUESTIONS	Score
1. I can explain my actions:
2. Other people don’t see me as I see myself:
3. I understand the feedback that others give me:
4. I can describe accurately what I am feeling:
5. Things that happen in my life make sense to me:
SELF-MANAGEMENT QUESTIONS	Score
1. I can stay calm, even in difficult circumstances:
2. I am prone to outbursts of rage:
3. I feel miserable:
4. I get irritated by things, other people or myself:
5. I get carried away and do things I regret:
MOTIVATION QUESTIONS	Score
1. I am clear about my goals for the future:
2. My career is moving in the right direction:
3. I find it hard to maintain my enthusiasm when I encounter setbacks.
4. I feel excited when I think of my goals:
5. I act consistently to move towards my goals:
EMPATHY QUESTIONS	Score
1. My colleagues are uncommunicative:
2. I get on well with each of my work colleagues:
3. I find it easy to “read” other people’s emotions:
4. It’s unpredictable how my colleagues will feel in any given situation:
5. People choose to work with me in preference to equally talented colleagues:
RELATIONSHIP MANAGEMENT QUESTIONS	Score
1. I encounter difficult people:
2. I am comfortable talking to anyone:
3. I achieve win/win outcomes:
4. I feel uncomfortable when other people get emotional:
5. I get impatient with incompetent people:

Kelm Academy

Education for Lifelong Success

+1 516-893-2800 #104
registrar@kelmacademy.org

Mon – Fri 9:00A.M. – 5:00P.M.

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