The document is an encouragement index self-assessment that asks individuals to rate how frequently they engage in encouraging behaviors in their roles as a business owner/CEO, spouse, and parent. It contains 21 statements about encouraging behaviors and asks the individual to rate each statement on a scale of 1 to 10 for each of their roles. The assessment is split across three pages and has the individual tally their scores for each role at the bottom of each page and a grand total at the end to assess their overall encouragement in different life roles.

1. C12 Board Members
Encouragement Index Self‐Assessment
How frequently do you typically engage in each behavior listed below? Carefully consider each of your major roles in scoring each
behavior (business owner, spouse, parent). Fill‐in the number from the scale below that describes most accurately your response to
each statement.
ALMOST ONCE IN FAIRLY VERY ALMOST
NEVER A WHILE OFTEN OFTEN ALWAYS
1 2 3 4 5 6 7 8 9 10
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
TOTALS FROM PAGE ONE
Business Owner/CEO
Spouse
Parent
8. I clearly communicate our values and professional standards (or marriage vision) to everyone on the team.
2. I express high expectations about what people are capable of doing.
3. I pay more attention to the positive things people do than the negative.
4. I personally acknowledge people for their contributions.
5. I tell stories about my team members’ (or spouse or children's) special achievements.
6. I make sure that our group (or family) celebrates accomplishments together.
7. I get personally involved when we recognize the achievements of others.
RARELY SELDOM SOMETIMES OFTEN USUALLY
1. I make certain we set a standard that motivates us to do better in the future

2. C12 Board Members Encouragement Index Self Assessment PAGE TWO
ALMOST ONCE IN FAIRLY VERY ALMOST
NEVER A WHILE OFTEN OFTEN ALWAYS
1 2 3 4 5 6 7 8 9 10
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
TOTALS FROM PAGE TWO
Business Owner/CEO
Spouse
Parent
14. I show others, by my own example, how people should be recognized and rewarded.
15. I make it a point to give people feedback on how they’re performing against our agreed upon standards.
16. I express a positive and optimistic attitude even when times are tough.
RARELY SELDOM SOMETIMES OFTEN USUALLY
9. I let people know that I have confidence in their abilities.
10. I spend a good deal of time listening to other people’s needs and interests.
11. I personalize the recognition I give to others.
12. I find opportunities to let people (employees, spouse, children) know the ‘why’ behind whatever we’re doing.
13. I hold special events to celebrate our successes.

3. C12 Board Members Encouragement Index Self Assessment PAGE THREE
ALMOST ONCE IN FAIRLY VERY ALMOST
NEVER A WHILE OFTEN OFTEN ALWAYS
1 2 3 4 5 6 7 8 9 10
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
As a business owner/CEO
As a spouse
As a parent
TOTALS FROM THIS PAGE
Business Owner/CEO
+ Spouse
+ Parent
+
TOTALS FROM PAGE ONE
+ + +
TOTALS FROM PAGE TWO
= = =
BOSS SPOUSE PARENT
GRAND TOTAL
18. I find creative ways to make my recognition of others unique and special.
17. I get to know, at a personal level, the people I work with (or am married to or parent of...).
USUALLYOFTENSOMETIMESSELDOMRARELY
21. I personally congratulate people for a job well done.
20. I find ways to make the workplace enjoyable and fun.
19. I recognize people more in public than in private for their exemplary performance.