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Take the First Step

Thank you in advance for taking the time to complete this short questioner. Your answers to these questions will give me some insight into who you are and what you hope to be!

“If we all did the things we are capable of doing, we would literally astound ourselves.”
–Thomas A. Edison

Your Identity

1. First Name(required)
2. Last Name(required)
3. Email(valid email required)
4. Phone Number(required)
5. Mobile Number
6. Best Time to Reach You
7. Street Address(required)
8. City(required)
9. State(required)
10. Zip Code(required)

About Your Experience

1. 1. Where are You in Your Carrer?
2. Recent Graduate 1-5 Years Work Experience 5+ Years Work Experience
3. 2. What one word would best describe you?
4. 3. Do you have any passions in life? What are they?
5. 4. If you could be anything in life what would it be?
6. 5. When were you the happiest in your career?
7. 6. What keeps you up at night?
8. Worry Fear Dreaming Thinking
9. 7. If you could change one or two things in your life what would they be?
10. 8. Specifically where do you need the most help?
11. Coaching / Mentoring Inspiration Career / Job Improvment Techniques
12. 9. What do you believe your career or business venture will ultimately bring you in the end?
13. 10. How do you spend your down time?
14. 11. What do you do between the hours of 6PM and 11PM?
15. 12. Who is your hero OR person you most admire and why?
16. 13. What has been your greatest accomplishment this past year or past few years?
17. 14. Are you currently working? Where?
18. 15. What is your title?
19. 16. If surveyed what would your direct reports say about you (if you are a manager)?
20. 17. Describe your current role, what do you do on a daily basis?
21. 18. How do you feel about your progress to date? Are you where you thought you would be?
22. 19. How are you limited, How could a new position/company potentially help you overcome those limitations?
23. 20. Are you involved in outside professional organizations?
24. 21. Do you have a personal life mission statement, a “motto" or life principle that defines you?
25. 22. Is there anything else about you that you would like to share about your background, personally or professionally?
26. 23. What is your general view of life?
27. Optimistic Pessimistic Have not really put much thought into it

 

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