The Full Circle of Trust Assessment

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Private & Confidential

Complete Section 1 yourself first. Then enter the results from each paper form as you collect them. Submit each section as you go. All responses go to your coach only.

Section 1: Your Own View

Rate yourself on each dimension before entering any external responses.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do I do what I say I will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Am I genuinely interested in others, or primarily in myself?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Am I the same person regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Can people be honest with me without consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do people feel energised or drained after time with me?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Section 2: From Above

Superior 1

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Section 3: From Alongside

Peer 1

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Section 4: From Below

Direct Report 1

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Section 5: From Home

Partner or Spouse

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Child 1

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.

Parent 1

Enter the ratings from the completed paper form for this person.

1 = Rarely or never  |  2 = Occasionally  |  3 = Sometimes, inconsistent  |  4 = Usually  |  5 = Consistently and reliably, no question

1.Competence — Do you trust this person to do what they say they will do?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

2.Care — Do you feel this person is genuinely interested in your experience, not just their own?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

3.Consistency — Does this person show up the same way regardless of who is watching?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

4.Safety — Do you feel you can be honest with this person without negative consequences?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

5.Presence — Do you feel energised or drained after time with this person?
1 — Rarely or never5 — Consistently

Please select a rating to continue.

Your responses are private and confidential — shared with Eva D'lom only.