Empathy Survey

This survey is designed as a lightweight tool to document key takeaways from conversations with stakeholders. It helps agile coaches and facilitators record observations about how empathy, communication, and trust show up across teams and leadership. Rather than collecting broad metrics, this form focuses on capturing qualitative insights that emerge during direct dialogue.

Extend the Conversation

After completing this survey, consider reaching out to one of our agile coaches for a comprehensive agility review. You can also explore additional surveys and diagnostic tools on our Resources Page to deepen your understanding of organizational dynamics.

Once submitted, the results of this survey will be sent to the interviewer’s email address, and—if a Summary Recipient is selected—shared with them as well.

The Additional Notes and Critical Feedback fields will not be included in the Summary Recipient’s e-mail.  These are notes for the interviewer only.

Jeremiah Keeler

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Jeremiah Keeler
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