CSA Sport Performance

Section 1 of 5

Background

This short survey will help you reflect on your own leadership, character and team culture. You'll rate yourself on a scale of 1 (not at all) to 10 (always). The same questions will be asked again later in the season so you can see your growth and development. There are no wrong or right answers—be honest with yourself.

Name

Email

Organization

Date of birth Format: Month, day, year Age: —

Gender

Male Female Other

Section 2 of 5

Leader by Example

This short survey will help you reflect on your own leadership, character and team culture. You'll rate yourself on a scale of 1 (not at all) to 10 (always). The same questions will be asked again later in the season so you can see your growth and development. There are no wrong or right answers—be honest with yourself.

Commitment

1. I am one of the hardest workers on the team

LowHigh—

2. I care passionately about the team's success

LowHigh—

3. I am a competitive person who wants to win

LowHigh—

Confidence

4. I believe in myself as a person and my ability to lead

LowHigh—

5. I want to perform in pressure situations

LowHigh—

6. I bounce back quickly following mistakes and errors

LowHigh—

Composure

7. I stay calm and composed in pressure situations

LowHigh—

8. I stay focused when faced with distractions, obstacles, and adversity

LowHigh—

9. I keep my anger and frustration under control

LowHigh—

Character

10. I consistently do the right thing on and off the ice

LowHigh—

11. I take responsibility for my actions and hold myself accountable

LowHigh—

12. I treat others with respect and dignity, regardless of who they are

LowHigh—

Section 3 of 5

Communicator

This short survey will help you reflect on your own leadership, character and team culture. You'll rate yourself on a scale of 1 (not at all) to 10 (always). The same questions will be asked again later in the season so you can see your growth and development. There are no wrong or right answers—be honest with yourself.

Communication

13. I am consistently a positive influence on my teammates

LowHigh—

14. I am good at encouraging my teammates

LowHigh—

15. I provide constructive criticism to my teammates

LowHigh—

Conflict Resolution

16. I am good at handling conflict amongst my teammates

LowHigh—

17. I am a good listener

LowHigh—

18. My teammates finds me approachable

LowHigh—

Section 4 of 5

Character

This short survey will help you reflect on your own leadership, character and team culture. You'll rate yourself on a scale of 1 (not at all) to 10 (always). The same questions will be asked again later in the season so you can see your growth and development. There are no wrong or right answers—be honest with yourself.

Personal Growth

19. I have developed an effective relationship with each of my teammates

LowHigh—

20. I am a team player who seeks to unify the team

LowHigh—

21. I can effectively balance my school and athletic life

LowHigh—

Resilience

22. I hold my teammates accountable for following rules/standards

LowHigh—

23. I positively confront my teammates when necessary

LowHigh—

24. I am a team player who is willing to address conflicts between teammates.

LowHigh—

Section 5 of 5

Leadership and Team Culture

This short survey will help you reflect on your own leadership, character and team culture. You'll rate yourself on a scale of 1 (not at all) to 10 (always). The same questions will be asked again later in the season so you can see your growth and development. There are no wrong or right answers—be honest with yourself.

Confidence and Leadership

25. I am confident that I consistently perform to my own expectations

LowHigh—

26. I am confident that I consistently perform to my teammates expectations of me

LowHigh—

27. I am confident in my leadership abilities

LowHigh—

Team Culture

28. How much does your team seem to emphasize and value achieving winning results

LowHigh—

29. How much does your team seem to emphasize and value strong relationships

LowHigh—

30. How clear are you on the teams values and expectations of you

LowHigh—

Background

Competition Level

Youth & Minor Hockey

Junior Hockey

Professional Hockey

Leader by Example

Communicator

Character

Leadership and Team Culture

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