Appendix A. Alignment Survey

It is easy to diagnose the health of individuals within an organization—the level of drama versus peace—with a simple survey. I ask individuals to circle the number that corresponds to their feelings about these nine indicators. The more low-number answers you get, the more you can be sure that you have a high level of drama, arguing with reality, and learned helplessness.

When I go into organizations that are struggling, I know that the mindset of their employees is the most reliable indicator of whether they will survive. I worked in health care for many years. When I analyzed the results of alignment surveys at hospitals and clinics, I found that—independent of all other conditions—if 30 percent or more of the surveys ...

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