MINDSET OF A LEADER

Pre-Event Program Survey

First name

Last name

Birthday

Month

Day

Year

What grade are you in?

What school do you go to?

Self-Assessment:

Please respond to the following statements based on how you feel right now.

Scale:

1 = Strongly Disagree 2 = Disagree 3 = Agree 4 = Strongly Agree

I know what I’m good at, what I believe in, and what is most important to me.

I am a leader when I tell the truth, treat others with respect, work as part of a team, stay disciplined, and keep trying even when things are hard.

I feel confident that I can overcome challenges and stay focused on what I want to achieve.

I feel supported by mentors, coaches, and role models who encourage me to grow and develop as a leader.

Reflection: What are you most looking forward to learning throughout the Mindset of a Leader program?

I promise to grow as a leader, stay disciplined, and take responsibility for my actions in this program.

Please sign or Print your name here:

Today's Date