Florence
Nightingale
Foundation

Pre- Impact Self Efficacy Questionnaire

12345
I can list my three greatest weaknesses
1
2
3
4
5
My actions reflect my core values
1
2
3
4
5
I seek others’ opinions before making up my own mind
1
2
3
4
5
I openly share my feelings with others
1
2
3
4
5
I can list my three greatest strengths
1
2
3
4
5
I do not allow group pressure to control me
1
2
3
4
5
I listen closely to the ideas of those who disagree with me
1
2
3
4
5
I let others know who I truly am as a person
1
2
3
4
5
I seek feedback as a way of understanding who I really am as a person.
1
2
3
4
5
Other people know where I stand on controversial issues.
1
2
3
4
5
I do not emphasise my own point of view at the expense of others.
1
2
3
4
5
I rarely present a “false” front to others
1
2
3
4
5
I accept the feelings I have about myself
1
2
3
4
5
My morals guide what I do as a leader
1
2
3
4
5
I listen very carefully to the ideas of others before making decisions.
1
2
3
4
5
I admit my mistakes to others
1
2
3
4
5
Not true at allHardly trueModerately trueExactly true
I can always manage to solve difficult problems if I try hard enough
Not true at all
Hardly true
Moderately true
Exactly true
If someone opposes me, I can find the means and ways to get what I want.
Not true at all
Hardly true
Moderately true
Exactly true
It is easy for me to stick to my aims and accomplish my goals.
Not true at all
Hardly true
Moderately true
Exactly true
I am confident that I could deal efficiently with unexpected events.
Not true at all
Hardly true
Moderately true
Exactly true
Thanks to my resourcefulness, I know how to handle unforeseen situations.
Not true at all
Hardly true
Moderately true
Exactly true
I can solve most problems if I invest the necessary effort.
Not true at all
Hardly true
Moderately true
Exactly true
I can remain calm when facing difficulties because I can rely on my coping abilities.
Not true at all
Hardly true
Moderately true
Exactly true
When I am confronted with a problem, I can usually find several solutions.
Not true at all
Hardly true
Moderately true
Exactly true
If I am in trouble, I can usually think of a solution
Not true at all
Hardly true
Moderately true
Exactly true
I can usually handle whatever comes my way.
Not true at all
Hardly true
Moderately true
Exactly true