Breakout Performance Index™: Sample Survey

Instructions: In this survey, we are interested in finding out about your personal beliefs about your organization.

The results of this survey will be kept completely confidential.

Please rate the extent to which you believe the following statements are “Definitely True” or “Definitely False” by using the scale shown below. Note that there is no “right” answer to the questions below. This survey contains 75 questions. Please complete every question.


Please use the following scale for each of your answers:



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1. It is more common for Management Team members to bounce solutions to important problems off others rather than coming up with ideas only on their own.
1 2 3 4 5 6 7 Don't Know

2. In our Team discussions, it's acceptable to ask direct questions (the attitude you get back is never one of "don't bother me with the details" or "that's someone else's job to figure out").
1 2 3 4 5 6 7 Don't Know

3. When we've had new product/service launches, we quickly face the reality of some problems which occurred.
1 2 3 4 5 6 7 Don't Know

4. Our Management Team is always focused on running the business first, not excessive time with media and promotional activities.
1 2 3 4 5 6 7 Don't Know

5. It's easy for our more junior employees to relate to our Management Team members.
1 2 3 4 5 6 7 Don't Know

6. Management Team members regularly make decisions that are for the best of the entire group - not just their own area.
1 2 3 4 5 6 7 Don't Know

7. At Management Team meetings, everyone participates and people from one function are comfortable asking questions about what's going on in another function (even though it's not their area of expertise).
1 2 3 4 5 6 7 Don't Know

8. You have enough opportunity to talk to other members of the Management Team outside of formal meetings about what's happening across the company.
1 2 3 4 5 6 7 Don't Know

9. Our retention rate on the Management Team for people we've wanted to stay has been 100% in the last year.
1 2 3 4 5 6 7 Don't Know

10. You are doing a good job juggling the number of balls in your job currently; things aren't dropping.
1 2 3 4 5 6 7 Don't Know

11. The Management Team does an adequate job of analyzing strategic missteps.
1 2 3 4 5 6 7 Don't Know

12. Management Team members are comfortable raising issues of concern on their own in Team meetings.
1 2 3 4 5 6 7 Don't Know

13. I feel that all the other Team Members are aware of what needs to be done for us to stay on top.
1 2 3 4 5 6 7 Don't Know

14. The Management Team does a good job tracking small, yet nontrivial, details.
1 2 3 4 5 6 7 Don't Know

15. The VPs have sufficient experience and backgrounds to match their roles and the company's planned growth.
1 2 3 4 5 6 7 Don't Know

16. The Management Team buys into the company's Vision and Strategy.
1 2 3 4 5 6 7 Don't Know

17. The company's Compensation Structure helps us execute the Strategy.
1 2 3 4 5 6 7 Don't Know

18. Critical information gets delivered to the right people in time to make decisions facing the company.
1 2 3 4 5 6 7 Don't Know

19. Our people below the VPs do an effective job at acknowledging failures and communicating how the company can best learn from them.
1 2 3 4 5 6 7 Don't Know



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