Journey Of Change - Survey
Please note everyone participant must complete this form twice. Once near the start of the program and again toward the end.
Name
Your answer
Age *
Your answer
Gender *
Date *
MM
/
DD
/
YYYY
Name of club or school
Your answer
I plan and use my time efficiently
False (not like me)
True (like me)
I am successful in social situation
False (not like me)
True (like me)
When working on a project, I do my best to get the details right
False (not like me)
True (like me)
I change my thinking or opinions easily if there is a better idea
False (not like me)
True (like me)
I can get people to work for me
False (not like me)
True (like me)
I can stay calm in stressful situations
False (not like me)
True (like me)
I like to be busy and actively involved in things
False (not like me)
True (like me)
I know I have the ability to do anything I want to do
False (not like me)
True (like me)
I do not waste time
False (not like me)
True (like me)
I am competent in social situations
False (not like me)
True (like me)
I try to get the best results when I do things
False (not like me)
True (like me)
I am open to new ideas
False (not like me)
True (like me)
I am a good leader when a task needs to be done
False (not like me)
True (like me)
I stay calm and overcome anxiety in a new or changing situations
False (not like me)
True (like me)
I like to be active and energetic
False (not like me)
True (like me)
When I apply myself to something I am confident I will succeed
False (not like me)
True (like me)
I manage the way I use my time well
False (not like me)
True (like me)
I communicate well with people
False (not like me)
True (like me)
I try to do the best that I possibly can
False (not like me)
True (like me)
I am adaptable and flexible in my thinking and ideas
False (not like me)
True (like me)
As a leader I motivate other people well when tasks need to be done
False (not like me)
True (like me)
I stay calm when things go wrong
False (not like me)
True (like me)
I like to be an active, 'get into it' person
False (not like me)
True (like me)
I believe I can do it
False (not like me)
True (like me)
Don't forget to check out www.thelba.co.uk & Facebook page (London Basketball Association)
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