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1. What are your top challenges?
(Choose all that apply)
- Keeping pace with career growth
- Lack of growth opportunity
- Feel stagnant in career
- Lack of executive presence
- Work/Life balance
- Emotional Intelligence
- Collaboration
- Lack of Confidence
- Other
If "Other," describe here:

2. If you were to have a coach, what would you like to achieve through executive coaching?
(Choose all that apply)
- Create a career roadmap
- Align work with personal values
- Increase my EQ
- Strengthen executive presence
- Improve communications & collaborations
- Be more confident
- Other
If "Other," describe here:

3. What attributes are important to you in a coach?
(Choose all that apply)
- Know my industry (e.g. Technology) or function (e.g. Marketing)
- Have hands-on Industry or functional experience
- Extensive coaching experience
- Geography proximity
- Chemistry
- Coaching Certification
- Other
If "Other," describe here:

4. Which statement best describes your career status and goals?
- I’m cruising on cruise control
- I want to be the Beyoncé of my industry. I know I can do better but I’m not sure how
- I have a love-hate relationship with my job. Just thinking about a career change stresses me out

5. How do you plan to reach your career goals?
- I’m keeping my fingers crossed and hoping for the best
- I keep my eyes and ears open for educational and growth opportunities but don’t always jump at the chance
- I plan to just put in my time and maybe someday it will happen

6. Do you feel stuck in your career?
- Nope
- Sometimes, but I’m usually good at finding a way out
- Yes! Help!

7. How vocal are you and how often do you project your inner voice?
- The only voices I listen to are SIRI and ALEXA
- I’m an Adele in training. I have the voice, I need to sing louder
- I’m more of a back-up singer, I like others to carry the tune

8. How comfortable are you with constructive criticism?
- Thanks, but no thanks
- I realize it is necessary to grow personally and professionally
- I’ll suffer through if I must

9. How often do you ask for help?
- Never. I’d rather fail than show my vulnerability
- I’m a trial and error kinda gal. If I need help, I’ll ask
- Only if I’m really, really stuck
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