Thanks for your interest in a Leadership Assessment call with me.

I'd love to find out a bit more about you before we talk - please fill out all the details below.

First Name *

Last Name *

Phone *

Email *

Questions

Q1. How effective do you feel your leadership skills are currently? *

Q2: What do you want to accomplish in the next 12 moths? (Professionally and Personally)? *

Q3: What is your biggest obstacle in reaching your goals? *

Q4: What will happen if you don't make changes or continue to ignore what needs to change? *

Q5: On a scale from 1-5 1 being it needs a lot of work, 5 being I feel good answer the following: Do you believe having a positive mindset is key to leading a life of success and positively influencing others? *

Q6: On a scale from 1 to 5 1 being it needs a lot of work- 5 being I feel good answer the following: How knowledgable are you when it comes to understanding God's word and will for your life? *

Q7: On a scale from 1 to 5: 1 being it needs a lot of work to 5 being I feel good answer the following: How good do you feel you are at being a good steward of your money and financial awareness?

Q8: How often do you make sure to intentionally do good things for yourself illicit self care? *

Q9: How do you feel about your relationships at home, work and socially? *

Q10: On a scale from 1-5: 1 being it needs a lot of work to 5 being I feel good answer the following question: How well do you feel you manage your time so you have time to do the things you love? *

Q11: What are the three most important areas that you could use support in to become all that God wants you to be? *

1
2
3

Q12: What are the three most important aspects you must have in a customized mentorship program? *

1
2
3

Q13. What's your long term vision for your life (5 years from now)? *

Q14. What was your income from the past year? What is your revenue goal for next year? *

Q15: Do you feel confident you can make this investment for the 6 month period? *

Yes

Not Sure

Q16: Will the program be funded from your organization/business revenue or other means? (savings, credit, etc) *

Q17: On a scale from 1-5 Please rate your commitment level to join a 6 month coaching program. 1 being I'm still unsure to 5 being I am totally commited. *

I confirm that I want to receive content from this company using any contact information I provide.