Leadership Influence Survey

EXPLANATION: The purpose of the Leadership Influence Survey (LIS) is to identify observable leadership behaviors in children for the purpose of developing these latent aptitudes for future effectiveness. While the LIS does not predict the absence of leadership potential, it is designed to help identify children who are “early bloomers,” whose actions might otherwise be overlooked or wrongly assessed.

The LIS is used as part of the FLA program application, as well as a pre-test for benchmarking growth among those accepted into a program. Each program applicant needs to submit an application and 2 LIS forms, one of which is from a non-relative.

PLEASE NOTE: ONLY the online format will provide you as a parent with an automated summary and key. The pdf and MSWord formats are only recommended for those responding for an applicant who cannot otherwise use the online format. If you are taking this for another child who is applying for a FLA program — then your survey will NEITHER be returned to you NOR the parent/guardian of the child, so that your anonymity is retained. This provides more accurate feedback for us in considering the fit of the program.

The LIS depends on the person taking the survey having observed the student in a social setting. This might include parents, relatives, school teachers, coaches, religious teachers, after school program directors, family friends and neighbors. There will be 25 multiple-choice questions.

There are no right or wrong, good or bad answers. Mark the response that seems to best reflect how you have observed the student. If you do not feel you can adequately answer a question, mark “Unsure.” (Please note that surveys with six or more responses marked “Unsure” will not be usable, but that is okay if it best represents your awareness.)

Future Leadership Academy retains this data for its ongoing research on leadership development, but will not share any personal information with anyone other than a certified trainer and/or our Knowledge Partners. Future Leadership Academy will not make the contact information available to other organizations.

Special note to school teachers and parents responding to this survey:
Teachers, we’ve found that educators sometimes mix academic skills with leading. Please try to distinguish between these when you respond, thinking in terms of the student’s social skills and ability to influence others toward a common goal (leading). We’ve also found that sometimes parents like to project their wishes onto their children, so as much as possible, strive to be objective in terms of actual behaviors witnessed in social settings.

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    INSTRUCTIONS: Mark the answer that best describes your observations of the student noted.

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    Organizational leadership: The ability to influence others as a group, toward accomplishing common goals.

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    NOTE: This section is ONLY for those responding to this form for a leadership program applicant:

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