Name* First Last Email Address* Check statements that you agree with in relation to your team and business concerns.One 1. The absenteeism rate is excessive or there are problems with stress, burnout and general health. 2. I have troublesome health problems and get sick easily: or when I take medicine it has little effect on me. 3. Some of my work colleagues get sick a lot, have had serious health problems, or have died an untimely death. 4. I find myself, or my company doing damage to the environment. 5. The current business world is detrimental to people's health: too much stress, anxiety, etc. 6. Our employees don't get the chance to take care of themselves: they work long hours, get too little exercise, have an unhealthy diet etc 7. Programs related to employee wellness, exercise, nutrition, have not been successful or easy to implement. 8. Our group medical/health benefits plans have not provided good care to employees. 9. There is a high rate of accidents, disability, or workers compensation incidents at work. 10. Our managers tend to drive employees too hard and are not considerate of their well being. Two 1. I do not feel that I am adequately compensated in my current job or can't adequately compensate my employees well enough? 2. I sometimes have a hard time making ends meet, lots of strain on my personal budget. 3. Many times I don't pay my bills on time and have to pay late fees or suffer from services being shut off. 4. Our company has not been successful in gaining adequate market share. 5. Our department does not receive adequate budget or incentive compensation allocations relative to other departments. 6. Other people or Departments are always borrowing or taking our resources (People, equipment, capital, etc.) 7. Too many people have to share the photocopies, fax machine, and other office equipment 8. Our physical surroundings seem to be too hot or too dry and it is uncomfortable for me or my employees. 9. Our company is having significant financial challenges in general or recouping bad debt is a problem for us? 10. Theft of company property has sometimes been a problem at our company. Three 1. We have a significant problem with employee loyalty and commitment to the company. 2. We often lose good employees to other departments or to other companies. 3. New employees are undependable or do not perform to expectations. 4. I have a hard time counting on my staff to get basic tasks completed; problems with unreliable work performance. 5. I can't count on my spouse or partner. 6. Gender, race, age, sexual harassment, discrimination or bias, have been issues at my company. 7. It seems that my co-workers often times display improper or unsuitable behaviour. 8. Our computers, software, machines and other such equipment are not very suitable. 9. Employee turnover has been a problem for us? 10. My co-workers are unreliable. Four 1. There is not a strong feeling of teamwork and cooperation within my department. 2. It seems that people are more concerned with company politics and positioning rather than with doing their job. 3. Senior management could do a better job of communicating honestly and openly with our managers and employees. 4. It's hard to get a straight answer to a simple question. 5. I sometimes have a hard time establishing credibility with senior management. 6. My friends, family or co-workers often don't believe what I'm telling them, even when it's true. 7. It seems that people are trying to hide information or be deceptive in the way they conduct business. 8. I find myself constantly telling little white lies for my self or others. 9. It seems that there is a lot of dishonesty among employees, customers, suppliers and the like. 10. For the most part I feel that everyone is cheating one another. Five 1. My company has a hard time establishing or maintaining alliances with other firms. 2. Our different divisions/product lines often work against each other and there are many disagreements. 3. There is a lot of fighting within my family, company or department. 4. My Company can't keep good workers or I seem to lose friends easily. 5. Travelling seems to be difficult for me or others around me. 6. I often find myself talking negatively about other family members, co-workers, or others. 7. Communication among company employees seems to break down when it's most needed. 8. I sometimes have a hard time sustaining allies and partners to support implementation of our programs. 9. I wish our management had a stronger character - more integrity and admirable qualities. 10. Task Forces don't seem to work together very well. Six 1. I find myself saying a lot of harsh or unpleasant things that offend others. 2. My office environment is too noisy - it's hard to concentrate and get work done. 3. It seems like people do a lot of arguing and disagreeing at my company 4. My direct reports often argue with me 5. The roads and travel routes to work often have obstacles, like potholes, broken train lines, etc. 6. When others talk to me it always seems that they are angry and want to start a fight 7. My surrounding environment is too dry and hot which makes projects and travel uncomfortable. 8. I hear a lot of offensive and unprofessional talk at work and in my environment 9. For some reason I can never find a quiet space; I am always surrounded by noise. 10. Even traditionally quiet places are noisy for me. Seven 1. I wish I had more confidence in myself. 2. People don't listen to me as much as I would like. 3. Sometimes I feel like i'm not the kind of person I was meant to be. 4. People around me don't seem to respect what I say. 5. In business meetings, my boss or peers sometimes don't give me credit for my ideas 6. I don't get the respect I deserve at work. 7. There are no peaceful parks around or other pretty places to go to relax 8. I find myself thinking that what I say doesn’t matter or is useful and futile. 9. I never find time to do the things in life that I really find meaningful. 10. I feel that others don't think what I have to say has much value or they don't take my suggestions seriously Eight 1. I am not very satisfied with my career success and accomplishments. 2. I really wish my position or compensation were higher than they are. 3. No matter how hard I work my boss is never satisfied. 4. Salary increases or bonuses are never consistent with what I think I deserve. 5. It seems to be getting harder and harder to reach my personal goals. 6. We seem to be losing ground - getting less and less budget, staff, and other resources 7. I'm not as fulfilled in my work as I used to be. 8. I find myself never being satisfied with what I have and always want more things, bigger things or better things. 9. The good things in my life I manage to attain get worse and worse or less and less. 10. My business or relationships have all started out great but gradually deteriorated or became progressively worse. Nine 1. I sometimes get angry when things don't work out right at work. 2. There is a lot of frustration at the level of commitment to delivery of work. 3. Senior management sometimes comes down on others really hard. 4. Our industry is plagued with conflict, chaos, not getting along. 5. Whenever I go out of my way and try to help someone out they often don't appreciate it. 6. We often don't get the help we really need - from suppliers, vendors, customers, etc. 7. Our employees in general don't really care about each other. 8. I find myself getting angry more often than I want to and I dislike a lot of things. 9. I never seem to find the help that I need when I need it. 10. My co-workers and others always seem to hurt me. Ten 1. People's values and integrity just aren't what they used to be or people have negative attitudes and are deceitful. 2. Great opportunities such as acquisitions, new innovations or new product lines are missed and captured by others. 3. People don't seem to value the things in life that are really important. 4. People at work don't place high value on helping others. 5. Our company has missed several opportunities, which would have talent us to the next level of business prosperity. 6. Those around me seem to be self centred. 7. I seem to be surrounded by people who don't concern themselves with making decisions based on morals. 8. I used to be very candid with my dealings but my experiences have made me less truthful with others. 9. Integrity and genuine values used to guide our company; now only profit and survival are dominant. 10. Those around me have little regards for ethical principles, but believe that dishonesty and exploitation is just a part of doing business.