About You
1.   Status
2.   Gender
3.   Age
4.   Location
5.   Email Address
Envision
6.   We have a clear understanding of our organization's mission
7.   We have a clear understanding of our organization's strategic choices
8.   We have a clear understanding of our organization's numerical goals
9.   We have a clear view of the time frame to achieve our goals
10.   We have a clear understanding of our organization's competitive advantage
11.   We have a clear understanding of our organization's challenges
12.   We have a clear understanding of our organization's next twelve months priorities
Enable
13.   The team has identified the right tools to meet our goals
14.   The team has identified enough tools to meet our goals
15.   The team has identified the right organization structure to meet our goals
16.   The team has identified the right people in place to meet our goals
17.   The team has identified the right training to meet our goals
18.   The team has identified the right financial resources to meet our goals
19.   The team has identified the right information system to meet our goals
20.   Everyone in the team can handle the complexity of the job
Empower
21.   Everyone in the organization has shared values
22.   The team is operating as an interdependent group
23.   We have identified and clarified roles and responsibilities for everyone in the team
24.   We all have space to innovate
25.   We all have clear personal objectives
26.   All team members have agreed personal development plans
Energize
27.   I am open with both praise and constructive criticism
28.   I make decisions in a timely manner
29.   I thrive in uncertain circumstances
30.   I appreciate the value of diversity
31.   I feel optimistic about the future
32.   I provide clear and consistent communication at all levels
33.   I provide timely feedback on changes to the plan
34.   The team helps each other constructively deal with differences
35.   Everyone in the team supports the final decision, even if it was not his / her idea