S o m e o n e E r o d e d M y Tr u s t

Use this worksheet to identify the The Elements of Trust

behaviors by the other person that led to
broken trust and what you can do to start

A
rebuilding it.
ABLE
Demonstrates competence
Directions
This worksheet can be completed

B
electronically, or printed and completed
by hand. BELIEVABLE
Acts with integrity
Pages 2–3
• READ each statement.

C CONNECTED
• CHOOSE the response that reflects
how often this person exhibits that Cares about others
behavior.
• TABULATE the results for each

D
element of trust (printed version).
DEPENDABLE
Page 4 Honors commitments
• TRANSFER the results from pages 2–3
to the top of page 4 (printed version).
• IDENTIFY the person’s lowest
element of trust.
• LIST some behaviors that this person could change to improve trustworthiness.
• EXPLORE ways that you can approach this subject with that person.

© 2018 The Ken Blanchard Companies. All Rights Reserved. Reproduce Only with Written Permission. V061518 • EL2428 1
 1 = Almost Never 2 = Infrequently 3 = Occasionally 4 = Sometimes 5 = Almost Always 6 = Always

less than 10% less than 25% less than 50% more than 50% more than 75% more than 90%
of the time of the time of the time of the time of the time of the time

Reset form
This person

Demonstrates strong task knowledge and skills 1 2 3 4 5 6

A
Knows how to get things done in the organization 1 2 3 4 5 6
Has a track record of achieving results 1 2 3 4 5 6
Focuses on key priorities to drive results 1 2 3 4 5 6
Demonstrates strong problem-solving skills 1 2 3 4 5 6
Demonstrates strong decision-making skills 1 2 3 4 5 6
ADD Selected Responses to get Subtotals (printed version) + + + + + +
ADD Subtotals to get ABLE Total (printed version)
ABLE Total 0 ABLE Total (printed version)

Tells the truth 1 2 3 4 5 6

B
Admits mistakes 1 2 3 4 5 6
Acts in alignment with personal and organizational values 1 2 3 4 5 6
Speaks positively about colleagues and the organization 1 2 3 4 5 6
Makes ethical decisions 1 2 3 4 5 6
Does not bend the rules 1 2 3 4 5 6
ADD Selected Responses to get Subtotals (printed version) + + + + + +
ADD Subtotals to get BELIEVABLE Total (printed version)
BELIEVABLE Total 0 BELIEVABLE Total (printed version)

© 2018 The Ken Blanchard Companies. All Rights Reserved. Reproduce Only with Written Permission. V061518 • EL2428 2
 1 = Almost Never 2 = Infrequently 3 = Occasionally 4 = Sometimes 5 = Almost Always 6 = Always

less than 10% less than 25% less than 50% more than 50% more than 75% more than 90%
of the time of the time of the time of the time of the time of the time

This person

Cares about others’ well-being 1 2 3 4 5 6

C
Demonstrates empathy 1 2 3 4 5 6
Readily shares information about self and organization 1 2 3 4 5 6
Asks for and is receptive to ideas and feedback from others 1 2 3 4 5 6
Finds common ground with others 1 2 3 4 5 6
Demonstrates strong interpersonal skills; is easy to work with 1 2 3 4 5 6
ADD Selected Responses to get Subtotals (printed version) + + + + + +
ADD Subtotals to get CONNECTED Total (printed version)
CONNECTED Total 0 CONNECTED Total (printed version)

Consistently follows through on commitments 1 2 3 4 5 6

D
Meets deadlines 1 2 3 4 5 6
Holds self and others accountable 1 2 3 4 5 6
Adheres to organizational policies and procedures 1 2 3 4 5 6
Anticipates and responds to others’ concerns 1 2 3 4 5 6
Adapts quickly to change 1 2 3 4 5 6
ADD Selected Responses to get Subtotals (printed version) + + + + + +
ADD Subtotals to get DEPENDABLE Total (printed version)
DEPENDABLE Total 0 DEPENDABLE Total (printed version)

© 2018 The Ken Blanchard Companies. All Rights Reserved. Reproduce Only with Written Permission. V061518 • EL2428 3
 A B C D
TOTAL TOTAL TOTAL TOTAL
0 0 0 0

This Person’s Lowest Element of Trust

ABLE BELIEVABLE CONNECTED DEPENDABLE

Behaviors that this person can change to improve trustworthiness

Explore how you can approach changing these behaviors in a conversation with this person.
Share your hopes for the conversation.
Express your feedback about the person’s
trust-eroding behaviors, using nonjudgmental
language.
Ask for the person’s feedback.
Listen generously, without defensiveness.
Ask for the person’s commitment to change
their behavior.
Focus the conversation on moving forward
to make the relationship better, not rehashing
the past.

© 2018 The Ken Blanchard Companies. All Rights Reserved. Reproduce Only with Written Permission. V061518 • EL2428 4