First Name

Last Name

Email *

Website

Phone

What best describes your current professional stage?

Early to mid-career, still building expertise

Recently stepped into leadership roles

Senior-level leader or consultant with strong track record

Established expert with deep industry credibility

What’s driving your next career move?

I want a new job or promotion

I’m exploring options beyond my current role

I want to position myself for advisory, board, or consulting roles

I’m ready to build my legacy and expand my influence

How clear are you on the value of your expertise in broader industry contexts?

Not sure how it translates outside my current role

I have ideas but need help connecting the dots

I can articulate it but haven’t leveraged it fully

I know the value and am ready to amplify it

Which best reflects your approach to personal development?

I’m looking for free or low-cost growth tools

I’m open to learning but time is limited

I regularly invest in executive-level coaching or strategy

I’m ready to invest time, money, and energy in high-level growth

How much time can you dedicate weekly to leadership and brand development?

Less than 1 hour

1–2 hours

3–4 hours

5+ hours if it’s strategic and high-impact

What challenges are you facing in elevating your influence?

Lack of time and clarity

Struggling to connect expertise with broader visibility

Not sure how to package or position my value

Ready to elevate but need strategic support

How do you currently describe your professional brand or positioning?

I don’t have one—it’s all about my title and resume

I’ve started building a brand but it lacks clarity

I have a good presence but it’s not consistent or strategic

I’ve done the groundwork and am ready to lead at the next level

Which opportunities interest you most in your next chapter?

Promotion within my current organization

Thought leadership or side consulting

Executive roles with broader impact

Advisory/board roles, strategic consulting, or legacy building

What’s your expected timeline for meaningful progress?

Within the next month or two

In the next 3–6 months

I’m in this for the long game—6–12 months and beyond

How important is it for your next chapter to align with deeper purpose and impact?

I haven’t thought much about it

It would be nice, but not a priority

It’s important, but I’m still figuring out how

It’s essential — I want my expertise to serve a greater purpose

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