Complimentary Career Assessment & Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Congratulations!

The information collected is held in confidence and used to best serve you as a complimentary career assessment and help you reach your goals, so please-- be open. That said, upon completion, and review of your application you may have the opportunity to schedule a strategy session to discuss your assessment results and help determine if one of my coaching programs is a good match for your current needs. Finally, this invitation is used as a request for information only and does not serve as an agreement for service; however, this is the first step in your personal or professional growth.

From Process to Practice-- Grab Your Stilettos and Let's Go!

Dr. Laci

Email *

Full Name *

Phone Number (where you can best be reached) *

What is your Linked-In Profile? (add the link below) *

How long have you been leadership? or worked in a leadership role? *

0-4 years

5-8 years

9-15 years

Other

I have not experienced a formal leadership role to date

Briefly describe your career situation, as it is currently. (i.e. middle management, team leader.) *

Describe the most successful leadership role, business idea or strategic plan that you have launched to date? *

Are you currently looking for a new position or promotion? If so, how often have you been contacted by leads, headhunters, etc. *

What is the primary frustration or challenge you are currently experiencing? *

What attempts have you made, up until this point, to try and solve your primary frustration or challenge? What have you done to ease your frustrations? *

Have you worked with a coach, mentor, or consultant in the past? What was your experience like? *

How much money have you invested in working to solve your career challenges or problem? *

What is the number 1 lesson, strategy or thing you are hoping to learn by working with Dr. Laci? Why do you want to work together? *

Are you committed to seeing your goal of success (new job, promotion, etc.) from vision to implementation to manifestation? *

Yes

Maybe

What other trainings, courses and/or coaching programs (personal or professional) have you taken in the past? What were your results? *

Have you tried some of the products or programs from Dr. Laci? or attended some of the webinar/conferences? If so, which product(s) or event(s). *

On a scale of 1-10, with 10 being I am "extremely motivated" and 1 meaning "I am not motivated at all," how motivated are you to correct these issues RIGHT NOW! *

not motivated at all

extremely motivated

Which of the following best represents your financial ability to invest in your self RIGHT NOW? *

I am willing and able to invest whatever it takes to solve my leadership challenges in achieve my goals of achieving career success.

Investing in my professional growth would be a stretch right now, but I am willing to make it work given the right circumstances.

I am not in a financial position to make an investment in my professional growth right now.

Do you need to speak with a spouse or other individual before making a decision to invest in your professional growth? *

Yes

Upon the review of my Complimentary Career Assessment, I would be interested in being contacted and scheduling a Discovery Session to review my application, discuss my assessment results, and determine, a coaching program match for my current needs. *

Yes

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Laci Coppins Robbins. Report Abuse

Forms