LatinaVIDA Circles Survey
Thank you so much for your interest in forming a LatinaVIDA Circle. We are so excited you're considering joining our Tribe of empowered Latinas and have decided to take action toward living a life by design. Before we send you our Starter Toolkit on how to form a LatinaVIDA Circle, we would like to get to know you better and learn if your goals align with our Mission and Culture of LatinaVIDA. The questionnaire will give us both an opportunity to gage your needs, as well as the areas where we can best support your career goals plus the ways in which you can empower, support and collaborate with the Latinas you will invite to your LV Circle. There are only 7 questions and this should take just 5 minutes to answer. Thanks you for taking time to make our community --our tribe--stronger!
Please tell us the reasons why you would like to form a LatinaVIDA Circle at this time (select all that apply):
I'd like to work on improving my current job situation
I want support for a career change I'm about to make or thinking of making
I am looking for work and want strategic advice and support to land my ideal job
I would like to share my experiences with other Latinas who I can peer mentor
All of the above
How will you identify the 5 - 7 women for your LatinaVIDA Circle
I have a strong network and will find the women among my own contacts
I will be asking women at work, in my community or on line to join my LV Circle
I will need help from LatinaVIDA to identify the women
Where will you most likely meet?
at my workplace
at my home
a local community center or civic center
at a local cafe like Starbucks
LatinaVIDA is planning to support the leaders of Circles to insure their success. Please tell us which of the following you would be interested in receiving (choose all that apply).
A free monthly newsletter with tips on keeping your LV Circle active
A monthly free webinar of other LV Circle leaders
A Google Site dedicated just to LV Circle activities accessible for free
A free private site on our media partner BeVisible Site (www.bevisible.soy)
A free live in person meeting of LV Circle leaders and members in your region
Demographic Information About You
We would like to know a little more about you! The last three questions will help us understand our community better.
18 - 21
22 - 27
28 - 35
35 - 45
45 - 55
55 - 65
I'd rather not say!
Highest degree completed
Associate of Arts
Professional Degree: Law (JD), Medicine (MD), Nursing (RN)
I'd rather not say
Please let us know your city and state.
Your First Name:
Your Last Name:
Please tell us how you learned about LatinaVIDA Circles:
Facebook Group LatinaVIDA
Is there anything you would like us to know that we didn't ask you about? (Feel free to share a note with us here)
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