Significant Impact Assessment

For decades, I inspired my team, colleagues, and clients to wake up on Monday mornings, ready to lean passionately into their Life Mission! Please answer the following questions. This is a FANTASTIC way to assess how you’re living INTO your Legacy!

Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
As clearly as you can, briefly describe your dream, ambition, vision…. your life's mission.
*

Describe your 3 Biggest Barriers in achieving your Dream, Ambition, Vision….your Life's Mission.

*

What are your top 3 goals to achieve in the next 12 months?


*

What do you need help with right now?

*
Self Assessment
*
Please take a moment to consider yourself as a member of Wisdom Council and rate yourself from 1-10 along the following "ideal member" attributes:
1
2
3
4
5
6
7
8
9
10
Works hard with a sense of quality far that exceeds requirements
Has achieved remarkable significance/success in life
Digs deep when facing a new, unknown activity with boundless curiosity
Has a monstrous ambition or vision to change the world
Believes in a higher power that is bigger than oneself
Has taken huge calculated risks – emotional, psychological, physical, spiritual
Has an extremely positive outlook on life and life’s journey
Is an extraordinary collaborator – inviting diverse perspectives that shape decision-making
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report