Mentoring baseline survey

Please score each of the statements below from 0 (not like me at all) to 5 (very like me)

1. I have a clear idea of where and how I would like my career to progress
2. I have high confidence in my ability to perform well in my current job role
3. I have a strong sense of self-belief, in terms of achieving what’s important for me in my life
4. I am effective in managing work-life balance issues
5. I manage my reputation well
6. I have a clear Personal Development Plan and know how to implement it
7. I am very well networked within
8. I am very well networked outside of
9. I am energised by my work and my job role
10. I create or find lots of opportunities to learn in my current job role
11. I have a clear understanding of what’s involved in roles within CQC, to which I might advance
12. I feel I am gaining skills and knowledge that will be valuable, if I move on from CQC
13. I have good role models in my organisatoion to learn from
14. I have a good understanding of my strengths and weaknesses
15. I have confidence in my influencing skills
16. I understand what is expected of me as a mentee/ mentor
17. I have generally positive feelings about being selected as a mentee/ mentor

© David Clutterbuck, 2015

Prof David Clutterbuck
Coaching and Mentoring International Ltd
Woodlands, Tollgate,
Maidenhead,
Berks, UK. SL6 4LJ

www.coachingandmentoringinternational.org
e-mail: info@coachingandmentoringinternational.org
Company registration number : 08158710