Q1. Leadership Identity
I see myself as a leader whose role and impact are still evolving.
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Very true for me
Somewhat true for me
Not true for me right now
Q2. Strategic Perspective
I regularly step back from day-to-day responsibilities to think about my longer-term direction.
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Very true for me
Somewhat true for me
Not true for me right now
Q3. Visibility
I’m intentional about how my leadership and contributions are seen by others.
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Very true for me
Somewhat true for me
Not true for me right now
Q4. Executive Presence
I feel comfortable showing up as myself in rooms where expectations or stakes are high.
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Very true for me
Somewhat true for me
Not true for me right now
Q5. Voice & Influence
I share my ideas in ways that influence outcomes, not just contribute information.
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Very true for me
Somewhat true for me
Not true for me right now
Q6. Feedback
I seek feedback that helps me grow as a leader, not just perform better.
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Very true for me
Somewhat true for me
Not true for me right now
Q7. Alignment
My current role reflects who I am becoming, not only who I have been.
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Very true for me
Somewhat true for me
Not true for me right now
Q8. Confidence in Change
I trust myself to navigate uncertainty, transition, or change without losing direction.
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Very true for me
Somewhat true for me
Not true for me right now
Q9. Support
I have space to reflect on my leadership with someone I trust.
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Very true for me
Somewhat true for me
Not true for me right now
Q10. Growth Orientation
I believe leadership growth requires intentional development, not just experience.
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Very true for me
Somewhat true for me
Not true for me right now
Q11. Your Current Situation
Which best describes where you are right now?
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Performing well but feeling stretched or uncertain
Capable but under-recognized
In a leadership role and wanting to grow into it more fully
At a crossroads or transition
Stable and wanting to expand impact
Q12. Desired Shift
What feels most important in the next 12 months?
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Confidence and presence
Clear direction
Greater influence
Alignment and purpose
Support during change
Q13. What’s Been Hard to Find?
What’s Been Hard to Find? (Select all that apply)
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Time to reflect
Honest perspective
Structured guidance
Accountability
Trusted sounding board
Q14. Time Commitment
If the right support helped you grow, how much time could you realistically commit?
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I can make time consistently
I could make time with planning
My time is very limited right now
Q15. Investment Readiness
Executive coaching requires an investment of time, energy, and resources. How open are you right now?
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Ready to explore
Open but cautious
Not ready at this moment
First Name
Phone
*
Email
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