KidLead


Social Influence Survey (An Assessment To Measure Leadership Aptitude In 2-22 Year Olds)

If you are submitting this Social Influence Survey as part of a KidLead training program application, we highly recommend using the online format below that is faster and more secure.  Only use the PDF or Word doc formats if you are unable to use the online survey.  Parents receive automated responses and a key for their SIS (only), and it helps avoid the SIS being lost and needing to be re-keyed by KidLead staff.  Thank you!

Click HERE to download Social Influence Survey (PDF)

Click HERE to download Social Influence Survey (MS Word doc)

Also be sure to check out the book, KidLead: Growing Great Leaders, available at www.Amazon.com.  This book will help you better understand not only the assessment, but also how to develop the leadership potential of your child, whether small or large. 

INSTRUCTIONS: The purpose of the Social Influence Survey (SIS) is to identify observable leadership behaviors in children & youth, in order to develop these latent aptitudes for present and future effectiveness.  While the SIS does not predict a lack of leadership potential, it is designed to help identify children & youth who have natural gifting, indicators that might otherwise be overlooked or wrongly assessed.  We’ve found this significantly beneficial for concentrated training, specifically ages 10 and older.

 This is an instrument that adults fill out about a child/preteen/youth.  There are 25 questions with multiple choice responses.  The SIS works best if the person completing it has seen the child in various social settings and can respond anonymously.  These might include parents, teachers, coaches, religious instructors, after school program directors, family friends and neighbors.

 

There are no right or wrong, good or bad answers.  Circle the response that seems to fit best from your experience in observing the child.  If you do not feel you can adequately answer any question, feel free to mark “unsure.”  We use the terms child, student, youth and subject interchangeably.

 

Final Note to Teachers & Parents:  We’ve found that sometimes educators mix academic skills with leading.  Please try to distinguish between these when you respond, thinking in terms of the student’s social skills and ability to influence others toward a common goal (leading).  Parents, we’ve found that sometimes we like to project our wishes onto our children, so as much as possible, work to be objective in terms of actual behaviors witnessed in social settings.

 

Student Firstname:  
Student Lastname:  
Parent's Firstname:  
Parent's Lastname:  
Parent's Email:  
Student Hometown:  
Student State:
How long have you known the student:  
Date submitted:  
Relation to student:    
Student age:

INSTRUCTIONS: Mark the answer that best describes your observations of the student noted.

1. The child tends to persuade or be persuaded by peers  
2. The child tends to be task oriented and/or goal oriented  
3. The child is observed to be opinionated and/or strong-willed  
4. The child connects well with adults and/or seems to be adult-like in terms of responsibility  
5. Peers seem to like and follow child (on the playground, in the classroom, in the neighborhood)  
6. This child has been disciplined or critiqued for being “bossy”  
7. This child sticks to his/her principles, even when peers deviate or disagree.  
8. Child initiates new projects and tasks  
9. How independent does this child seem to be  
10. If you needed to step away from your class or team for awhile, how likely would you be to put this child in charge while you were away:  
11. The child negotiates options, compromises, “deals.”  
12. The child is decisive  
13. When child interrupts a conversation...  
14. Child exudes confidence in pressure situations  
15. Demonstrates ambition / vision  
16. Child initiates supervision of younger children socially  
17. Child is optimistic  
18. Use of humor and sometimes the “class clown”  
19. Exudes a can-do spirit and perseveres  
20. Child is willing to takes risks and try new things  
21. Child challenges rules that don’t seem to make sense or seem unfair  
22. Child is not afraid of healthy conflict, confronting a person/situation  
23. This child is competitive  
24. The child demonstrates strategic thinking skills / solving a problem without a lot of resources or adult intervention  
25. Organizational leadership: The ability to influence others as a group, toward accomplishing common goals.
Based on the above definition of organizational leadership, how would you rate the observed organizational leadership qualities of the child?  
This section is ONLY for those responding to this form for a training program applicant:
Give an example of where you’ve seen this child lead a group of peers or others:
What was the goal/project:
How did the child behave:
What went well and what did not:
Why do you think this child should be considered for a preteen leadership development program:
Feel free to add any other comments about what you’ve observed regarding this child’s ability to influence others: