First Name *

Last Name *

Phone *

Email *

Preferred Communication Method

Your City

Company, Business, Organization, or Nonprofit Name *

Website or LinkedIn Profile *

Current Title / Role *

Briefly describe the work you do and the people you serve. *

How long have you been in this role, business, or leadership season? *

What level of responsibility are you currently carrying? *

What made you choose Executive Alignment at this time? *

What is shifting in your life, leadership, business, or organization right now? *

What feels clear right now? *

What feels unclear, heavy, delayed, or unresolved? *

What do you sense is asking more of you now? *

What are you no longer willing to carry, tolerate, or repeat? *

Goal 1: What is one major goal, outcome, or priority you want to bring into this session? *

Why does Goal 1 matter now? *

What would meaningful progress on Goal 1 look like within the next 90 days? *

Goal 2: What is the second major goal, outcome, or priority you want to bring into this session? *

Why does Goal 2 matter now?

What would meaningful progress on Goal 2 look like within the next 90 days?

Goal 3: What is the third major goal, outcome, or priority you want to bring into this session? *

Why does Goal 3 matter now?

What would meaningful progress on Goal 3 look like within the next 90 days? *

Of these three goals, which one feels most urgent, alive, or important right now?

What do you believe is currently blocking, slowing, or complicating these goals? *

What larger vision are you carrying right now? *

What do you feel called to build, lead, heal, complete, expand, or become in this season?

How will you know when you have met this vision face to face? *

Where do you currently feel most aligned?

Where do you currently feel out of sync with yourself, your goals, your team, or your leadership? *

Where are you spending energy that may not be returning value?

What decisions are waiting on your clarity? *

What conversations, commitments, or actions have you been delaying?

What do people often come to you for?

What do people often misunderstand about you or your leadership?

What do you know you are naturally gifted at? *

What skills have you developed through experience, work, leadership, adversity, or mastery?

What part of your brilliance feels underused right now?

What part of your leadership feels overused, overextended, or tired?

What do you want to use more intentionally going forward?

Have you completed your Personal Excellence Profile Assessment yet? *

Yes

Not yet

I need the link resent

What stood out to you from your results, if anything?

Did anything surprise you, confirm something, or make you pause?

Is there a specific PEP zone, ability, or result you want to discuss during your session?

What would make this Executive Alignment experience deeply valuable for you? *

What do you want Chloé to understand before meeting with you? *

What do you hope to see more clearly by the end of your session?

What kind of action do you want to be ready to take after receiving your Authentic Alignment Blueprint?

Is there anything personal, professional, spiritual, relational, emotional, or strategic that feels important for Chloé to know?

Privacy & Terms

By submitting this intake form, you acknowledge that the information you provide will be used by The PEP Institute™ to prepare for your Executive Alignment experience, including review of your goals, leadership priorities, and Personal Excellence Profile Assessment™-related context.

Your responses are treated as confidential client information and are used solely for preparation, session delivery, internal client support, and appropriate follow-up related to your engagement with The PEP Institute™.

This experience is designed for leadership development, personal alignment, executive clarity, and strategic reflection. It is not medical care, therapy, legal advice, financial advising, or crisis intervention.

By submitting this form, you confirm that the information provided is accurate to the best of your knowledge and that you understand your Executive Alignment session is a private professional development experience intended to support clarity, alignment, and embodied action.

All payments, scheduling, cancellations, and rescheduling are subject to the terms communicated at booking or purchase. Due to the private and preparatory nature of this engagement, completed payments may be non-refundable unless otherwise stated in writing.

By continuing, you agree to receive communications from The PEP Institute™ related to your session, assessment instructions, preparation materials, follow-up, and relevant client support.