JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Intake Form
This is an opportunity for me to learn about you and your goals in joining a leadership platform. Please answer as honestly as you can.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Your name
*
Your answer
Your email
*
Your answer
What do you do?
*
Your answer
How long have you been working at that job/career?
*
Your answer
What do you need right now in your leadership journey?
*
Your answer
If a genie popped down and granted your every professional wish, what would life look like?
*
Your answer
How will working with me will help you?
*
Your answer
How much do you spend on your personal development a year?
*
$1,000-3,000
$3,000- $10,000
$10,000 +
I always appreciate it when people tell me how much it is to work with them. Membership in our Mastermind is $1500 a month. Is this in line with what you hoped to spend?
*
yes
no
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
