Individual Leadership Self-Assessment
(ILSA)

Matthew Webster Childress has requested that you provide your perceptions regarding his/her leadership characteristics on the scales below.

The individual Leadership Self-Assessment instrument (ILSA) is a 360° process designed to provide insightful, critical friends feedback in a variety of leadership settings to serve as a vehicle for a leader’s self-development. In order for your friend/colleague to obtain the most useful and authentic feedback regarding his/her leadership, ten or more critical friends’ responses are needed. Your responses will remain anonymous and only aggregated results will be shared.

Thank you in advance for your cooperation.


Instructions: On the scale below, choose the number that best matches your perception of your colleague’s/friend’s trait, characteristic, skill, or disposition indicated on this survey. If you believe that your colleague/friend frequently exhibits the trait, characteristic, skill, or disposition AND many others or most other people have told you that s/he does, you may select (6) or (7). If only a few people or no one else has told you that your colleague/friend exhibits this trait, characteristic, skill, or disposition and you believe s/he frequently exhibits it, you may choose (5) as the highest rating.

  1. My colleague/friend does not exhibit this trait/characteristic
  2. My colleague/friend infrequently exhibits this trait/characteristic
  3. My colleague/friend occasionally exhibits this trait/characteristic
  4. My colleague/friend usually exhibits this trait/characteristic
  5. My colleague/friend frequently exhibits this trait/characteristic
  6. My colleague/friend frequently exhibits this trait/characteristic and many other people have told me that they exhibit this trait/characteristic
  7. My colleague/friend frequently exhibits this trait/characteristic and most other people have told me that they exhibit this trait/characteristic

My colleague/friend is ...

1 2 3 4 5 6 7
Self-confident
Trustworthy
Enthusiastic
Adaptable
Patient
Caring
Knowledgeable
Creative
Inspiring
Visionary
Ethical
Effective communicator
Strategic thinker
Always tries to see the other person’s point of view
Displays generally positive attitude toward life and work
Displays general belief that all people are valuable, able, and worthy
Collaborates positively with others
Treats everyone equitably and fairly
Avoids being sidetracked by trivia or petty issues
Committed to life-long learning for self and others
Balances work and life
Builds and maintains positive relationships