Step 1 of 4 25% Name* First Last Gender* Female Male Organization* 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* GED High School Diploma Some College Associate Degree College Degree Graduate Degree Doctorate 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?* 1 2 3 4 5 6 7 8 9 10 Please share how long have you been dealing with this POWER challenge.* 1 - 6 months 7 - 12 months 2 years 3+ years What 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.* HiddenDate MM slash DD slash YYYY
