Leadership Goal-Setting Questionnaire
Email address *
What's one management or leadership goal you could achieve six months from now that would make a BIG difference to you?
Your answer
If you could have MORE of one thing right now, what would it be?
Your answer
What would have to happen, personally and professionally, in the next few months, for you to feel you've made progress on your goal?
Your answer
What are the three biggest things you are tolerating in your management or leadership life?
Your answer
If you could change one thing in your management or leadership life, what would it be?
Your answer
What would you most like to be acknowledged for?
Your answer
Which of the following ways do you "sabotage" yourself?
1 = Never, 4 = Often
1
2
3
4
Procrastination
Indecision
Arrogance
Acting like a "Lone Ranger"
Tolerating
Saying "No" too much
Saying "Yes" too much
People are multidimensional. Everyone has strengths and imagined weaknesses in various areas of their life. How would you rate your current satisfaction in each area?
Score between 0 (Very Dissatisfied) and 10 (Highly Satisfied)
0
1-2
3-4
5
6-7
8-9
10
Financial
Career
Health
Relationships
Recreation
Contribution
Education
Personal
Given these scores, what two areas are you willing to improve over the next 6 months to make the biggest difference in your life?
Select only two
Bottom line, regarding your management and leadership, what do you want, or what do you want to do?
Your answer
What does that look like? (Can you visualize it yet?)
Your answer
How will you know you've achieved it?
Your answer
Think about where you are now. Are you heading in the right direction?
Your answer
What might be in the way?
Your answer
How coachable do you suspect you are?
Which leadership skills would you like to improve?
If you had an leadership consultant or accountability partner, what would you probably get from them that would be most valuable to you?
Choose three maximum
If known, what is your preferred learning style?
Communication Preferences
How affordable do you feel an investment in your leadership development is for you?
If you engage Karl Bimshas Consulting and we both believe a conceptual agreement makes sense for you right now, what is your best guess at how long it might take for us to make a good impact on your goal(s)?
If, after a session, we decide to work together, what’s your preferred start date?
Do you require anyone else's approval before committing to a 3 to 6 month agreement for yourself?
Contact Information
We captured your email above. Please share additional contact information below.
First Name *
Your answer
Last Name *
Your answer
Phone
(Optional)
Your answer
Address
(Optional) Please provide a mailing address where supplemental information can be sent. If you don't want additional information, please only include your zip code for demographic information.
Your answer
City
Your answer
State
Your answer
Zip Code *
Your answer
Karl Bimshas Consulting has leadership products and services designed for busy professionals who run a small business or a large department and want to manage better and lead well.
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