Survey Template
Leading Care — How I Lead in a Healthcare Setting
License
Overall Effectiveness
1.1Overall effectiveness over the last 3–6 months? (likert)
Ethical Practice
2.1Acts in line with professional and organizational values, even when inconvenient. (likert)
2.2Is open and honest when things go wrong, including about their own part. (likert)
Self-Awareness
3.1Asks others for feedback and considers it without becoming defensive. (likert)
3.2Stays calm and constructive in high-pressure or emotionally charged situations. (likert)
Clinical Credibility
4.1Uses clinical guidelines, evidence, and best practice when influencing care delivery. (likert)
4.2Understands the day-to-day realities of frontline work in their service. (likert)
System Understanding
5.1Understands how their service fits within wider patient pathways and other teams. (likert)
5.2Uses information (activity, outcomes, incidents, feedback) to inform decisions. (likert)
Interprofessional Working
6.1Builds positive working relationships across professions and roles. (likert)
6.2Addresses disagreements respectfully rather than letting them fester. (likert)
Communication
7.1Listens carefully and checks understanding, especially in complex or sensitive situations. (likert)
7.2Creates an atmosphere where people feel able to raise concerns about safety or quality. (likert)
Managing Services
8.1Helps plan and organize work so that care is safe, timely, and smooth. (likert)
8.2Anticipates and responds to changes in demand, staffing, or capacity. (likert)
Quality & Safety
9.1Encourages staff to report incidents, near-misses, and concerns without fear of blame. (likert)
9.2Involves frontline staff in identifying problems and testing practical improvements. (likert)
Vision & Change
10.1Shares a clear, patient-focused picture of what good care should look like. (likert)
10.2Helps staff move through change while maintaining safe care and morale. (likert)
Health Equity
11.1Considers how decisions affect access, fairness, and outcomes for different patient groups. (likert)
Open Feedback
12.1In one word or short phrase, how would you describe this leader's style?
12.2What should this leader start doing or continue doing more of?
12.3What should this leader stop doing or do less of?