Monsignor Farrell

Leadership Institute Self-Assessment & Reflection Survey

Leadership Institute Self-Assessment & Reflection Survey

Semester One: Discovering the Leader Within

While we officially begin our sessions on October 16th, I’d like you to take this time to reflect on who you are as a leader — and who you hope to become.

Please complete the attached Leadership Self-Assessment & Reflection Workbook thoughtfully and honestly. It is not a test. It’s simply a tool to help you:

Better understand your strengths and areas for growth
Begin thinking like a leader
Set the tone for your Leadership Institute experience

Please complete the survey by Friday, October 10th, 2025

Vir Fidelis,

Mr. Lou Tobacco '90
President | Monsignor Farrell High School

First Name *

Last Name *

Your Farrell Email Addrress *

Yes

I am unable to attend

SURVEY

SECTION 1: LEADERSHIP SELF-ASSESSMENT

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

Self-Awareness

I understand my personal strengths and weaknesses *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I take time to reflect on my actions and choices *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I am aware of how my words and actions affect others *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I actively seek feedback and use it to grow *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

Communication & Relationships

I listen attentively when others are speaking *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I can express my thoughts clearly and respectfully *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I am comfortable leading group conversations or activities *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I build others up and contribute positively to group dynamics *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

Character & Integrity

I do the right thing, even when no one is watching *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I stand up for what I believe in *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I keep my commitments and take responsibility for my actions *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I treat all people with respect, regardless of status or opinion *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

Vision & Impact

I have personal goals and work hard to achieve them *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I care about making a difference in my school and community *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I am willing to sacrifice for the greater good *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

I think about the legacy I want to leave behind *

Rate yourself from 1 to 5 (1 = Strongly Disagree | 5 = Strongly Agree)

Section 1 Score *

Add your answers from the section above and enter your total score for that section here

SECTION 2: PERSONAL REFLECTION

What does being a 'Faithful Man' mean to you? *

Describe a time you had to lead or influence others. What did you learn about yourself? *

What do you think is the biggest challenge facing student leaders today? *

What core values do you want to live by every day? *

Who inspires you to be a better leader, and why? *

What do you hope to gain from the Leadership Institute this year? *

SECTION 3: COMMITMENT STATEMENT

Imagine it’s the end of senior year. What do you want others to say about your leadership? *

Complete the following statement: “As a student in the Leadership Institute, I commit to… *