Career | Life Needs Survey
Hi! My name is Staci Witten, CPLC. I am a Certified Professional Coach specializing in Career, Leadership, and Life Balance coaching. Thank you for taking the time to complete this survey. It should take you about 5 minutes. I am creating new resources for my community (that's you!) but I am looking for your input on specific topics and format that would be most useful. I have several gifts for you after you complete the survey. You will learn more about them on the next page.

Be sure to hit NEXT on each page so your responses will be recorded.
1. Which describes your current situation (check all that apply): *
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2. What areas do you feel stuck? What would help you move forward (check all that apply)? *
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3. If you were to receive virtual coaching and/or consulting services from experienced certified coaches and to help you move forward, which would you prefer (check all that apply): *
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4. Which types of online/digital learning media do you prefer (check all that apply): *
Required
5. Which active social media accounts / virtual tools do you use (check all that apply): *
Required
6. What best describes your current position level (check all that apply): *
Required
7. What is your highest education level *
8. Which best describes your base salary range?
Clear selection
9. Gender
Clear selection
10. Age range
Clear selection
Would you like to add any other information or comments related to your career transition/job search/work-life balance? Your will help us develop programs to help you and other professionals.
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