Assessment Form
Select the main/dominant reason why you would like to get back to work *
What is your biggest fear of getting back to career ? *
How badly do you want to get out of this fear? *
(on a scale from 1 to 10, with 10 being the most, 1 being the least)
If a magic wand would solve your biggest career fear, what would it relieve/increase/decrease? *
(please specify in details)
Your answer
What type of career you would like to enjoy the most ? *
List 5 career choices you would like to explore *
(1 being highest priority and 5 being lowest priority)
Your answer
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Your answer
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Your answer
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Your answer
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Your answer
Your choice for creating career opportunity *
Required
Feedback about Our Services: *
What kind of support you expect from Her Second Innings to assist for career opportunity ? *
Required
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