Let’s work together to unlock your potential.Please schedule 30-minutes to complete this form. Don’t rush this process. Name * First Name Last Name Title * Email * Phone * (###) ### #### What is your 4-letter personality profile? * List Your TOP 3 Professional Goals * Also, consider, do these goals align or compete with your personal goals? Yes/No? Explain. Identify of Obstacles * Identifying barriers hindering attaining the goals described above. Self-Beliefs * Think about the obstacles listed about and reflect on your self-perception: Are there any beliefs or thoughts you often have about yourself that you feel might be holding you back? (Please list) Identifying Limiting Thoughts * Can you think of any doubts or insecurities that frequently come up when you face new challenges? (Please list) Examining Internal Dialogue * What are some common negative statements you tell yourself that you suspect might not be true? (Please list) Considering Living in the True You * If you were living a life beyond limited self-beliefs, thoughts and negative internal dialogue, how would that change the way you view yourself and your abilities? (Please describe) Readiness for Change * On a scale of 1 to 10, how motivated are you to start making changes towards your goals? (1 being not motivated at all, 10 being extremely motivated) Preferences for Change * Do you prefer to start with small, manageable steps or are you comfortable with making bigger, more significant changes right away? How much time per day/week are you willing to commit to activities that will help you kick start your professional growth? Identifying Your Team * Personal & professional growth is hard to do in isolation. It's important to start looking ahead and building a support system. Is there one person you consider your primary support partner? If so, who is it? Enter the name of who would you prefer to be your primary partner in this professional growth journey and why? What motivates you to pursue professional growth? * What long-term vision do you have? * Are there any specific PERSONAL areas you feel need significant change or improvement to meet your PROFESSIONAL goals? * What does a brighter future "feel" like to you? Be as descriptive as possible. * What kind of support would you find most helpful as you start your journey? * 1-on-1 Coaching Hybrid: 1 on 1 Coaching Coupled with Self-Directed Elements Virtual/Self Directed Thank you! Click Here to Take Your Personality Test