Resilience Assessment Tool

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About this Assessment:

The Resilience assessment is a short self-assessment to help you identify your own scores relating to Resilience. It is organized by the four domains of Resilience. This will give you a general sense of where you want to focus your efforts. We encourage you to take this survey as a way to get a snapshot of where you excel and where you may want to focus your energies.

Think about the last year when determining your answer. If you are not sure, select “3” as the survey will not allow you to proceed until you answer each question. The survey should take about 10 minutes to complete.

CONFIDENTIALITY

These survey results will be treated with complete confidentiality. The information submitted will not be used to identify the respondent or the respondent’s company directly or indirectly. Data will be used in aggregate only, with a sufficiently large sample of companies to ensure anonymity.

CONTACT INFORMATION

Please provide your contact information to receive a complimentary copy of the survey results.

Instructions

Complete the Personal information
Complete the 7-11 questions per section.
At the end of each section, select the “Proceed to Next Section” button.
As you finish, select the “See My Score” button.

Do you want to:

Respond to unexpected change with confidence and flexibility?
Challenge the beliefs and assumptions that drive your decisions and actions?
Re-tool your thinking to support resilience?

What is Personal Resilience?

Remaining flexible in the face of change and the unknown – evolve to better fit the changing environment
Maintaining focus on vision and long term goals
You actually become different based on the changing environment
After a variable period of adjustment, we bounce back to our previous level of happiness no matter what happens to us

- Daniel Gilbert, Stumbling on Happiness

Name*

First Last

Company*

Role*

Title*

Your Email Address:*

Score Yourself on Physical Wellbeing - A Quick Diagnostic/Exercise

Score yourself on a 1-5 scale based on your experience over the past three months.

I get 7-8 hours of sleep every night*

Never

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I limit my alcohol consumption to fewer than seven drinks per week for women and 14 drinks per week for men. I don’t drink more than two glasses per day*

Never

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I get at least 30 minutes of aerobic exercise at least 3x/week and lift weights 2-3x/week*

Never

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I pay attention to making healthy choices about my eating*

Never

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When I am stressed, I use attention to my breathing to help me calm down and focus*

Never

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I am a non-smoker*

Never

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I limit my coffee to 4 6-ounce cups of regular strength coffee per day*

Never

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I take time to meditate daily*

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I spend 2 hours/week in nature*

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This field is hidden when viewing the form

Physical Wellbeing Score

Score Yourself on Score Yourself on Managing Your Thinking - A Quick Diagnostic/Exercise

Score yourself on a 1-5 scale based on your experience over the past three months.

I believe that challenge is natural, and I can keep challenging times in perspective*

Never

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I am aware of my inner self-talk and actively manage it using mindfulness*

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I accept the things in my life that I can’t change*

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When experience is challenging, I have a regular practice of calming activities that may include deep breathing and visualization or prayer*

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I can shift my focus from what is going wrong to what is working in my life*

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I consistently explore my assumptions about people and work and am open to revising my point of view*

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I regularly reflect on my thoughts and behaviors when they limit my effectiveness*

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I assume responsibility for my behavior and my contribution to the team*

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I surround myself with people who are positive and constructive most of the time*

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My work allows me to do something meaningful every day – aligned with my values.*

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This field is hidden when viewing the form

Managing Your Thinking Score

Score Yourself on Working From The Heart - A Quick Diagnostic/Exercise

Score yourself on a 1-5 scale based on your experience over the past three months.

I observe my feelings regularly*

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I recognize when I am emotionally triggered, and I use different tools to calm myself, so I have a positive impact on others*

Never

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I actively seek ways to feel empowered even when the organization may not empower me in a given situation*

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I have reasonable expectations of myself*

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I can reframe challenges to find something of value to me*

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I manage my emotional reactions to allow me to respond with socially appropriate behavior*

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I notice how others around me are feeling*

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I react to how others are feeling – not just what they are doing*

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I share my feelings with others in a constructive manner to build trust and improve our relationship*

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I invest the time and energy to develop and sustain healthy relationships*

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This field is hidden when viewing the form

Working From The Heart Score

Score Yourself on Harnessing The Power Of Connection - A Quick Diagnostic/Exercise

Score yourself on a 1-5 scale based on your experience over the past three months.

I encourage other people to share their points of view even when they may differ markedly from my own*

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Though uncomfortable at times, I use my skills to deal effectively and proactively with difficult people*

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When I have a different perspective, I share it with respect and ask my colleagues to help me understand how they came to their conclusion or point of view*

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Beyond asking questions, I put myself in their situation and try to understand what they are seeing and feeling*

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I encourage others to ask me questions when they’re not sure if they understand me*

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I communicate with others clearly and honestly and validate their feelings*

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Make communication safe by being responsive and constructive. I share both information and emotions*

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I recognize that people have different personality styles and appreciate the value that these alternative approaches offer*

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I build trust by consistently doing what I say and acting for the greater good*

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I have a mentor, coach, or supervisor with whom I meet at least once a month to review my job performance*

Never

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I maintain a good balance between work and personal life*

Never

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This field is hidden when viewing the form

Harnessing The Power Of Connection Score