Step 1 of 4 25% Name* First Last Gender*FemaleMaleOrganization*Email* Phone* Leadership Role*IndividualTeamDirectorDivision / RegionVice-PresidentOrganization (C-Suite)Non-ProfitBusiness LeaderEntrepreneurPastorFaith-Based LeaderIndustry*Accounting/FinanceAdvertising/Public RelationsAerospace/AviationArts/Entertainment/PublishingAutomotiveBanking/MortgageBusiness DevelopmentBusiness OpportunityClerical/AdministrativeConstruction/FacilitiesConsultingConsumer GoodsCouselingCustomer ServiceEducation/TrainingEnergy/UtilitiesEngineeringGovernment/MilitaryGreenHealthcareHospitality/TravelHuman ResourcesInstallation/MaintenanceInsuranceInternetJob Search AidsLaw Enforcement/SecurityLegalManagement/ExecutiveManufacturing/OperationsMarketingMinistry [Faith-Based Organization]Non-ProfitNon-Profit VolunteerPharmaceutical/BiotechProfessional ServicesQA / Quality ControlReal EstateRestaurant/Food ServiceRetailSalesScience/ResearchSkilled LaborTechnologyTelecommunicationsTransportation/LogisticsOtherEducation*GEDHigh School DiplomaSome CollegeAssociate DegreeCollege DegreeGraduate DegreeDoctorate Degree Share your biggest (#1) leadership challenge in owning your POWER in just 1-2 sentences.*On a scale of 1‐10 (10 being highest), how important is it to you to get your biggest POWER challenged resolved?*12345678910Please share how long have you been dealing with this POWER challenge.*1 - 6 months7 - 12 months2 years3+ yearsWhat strategies or activities have you tried to improve your POWER skills within the last 12 months?**What strategies or activities have you tried to improve your POWER skills that NOT worked within the last 12 months?**What is the #1 obstacle that’s kept you from solving your POWER challenge? Be honest with yourself.* What are the 3 main reasons why you believe that you have NOT made changes and improvements in owning your POWER?*Share in your own words, which 3 ideal POWER characteristics a leader should possess. Why?*Where would you like your leadership POWER role to be in 6 months and 12 months?*How will you feel if you are still in your current POWER level a year from now? Explain why?*Have you worked with an Executive Leadership or Leadership Coach before? If so, share your experience and your results.*Date Date Format: MM slash DD slash YYYY