Ready to Take the Next Step to a Higher Quality of Living for Yourself and Your Loved Ones?

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

Take our brief 7-minute survey to help us understand you better and get access to the First Ladies of Poverty Foundation's mini course!

About You

Tell us a little about you!

Which is your predominant ethnic background? *

I am predominantly of African descent.

I am predominantly of Asian descent.

I am predominantly of European descent.

I am predominantly of Latinx descent.

I am predominantly of Native American / Indigenous descent.

Please choose one. *

I am a woman of color.

I am a non-binary woman of color.

I am a female ally of women of color.

I am a male ally of women of color

I am a non-binary ally of women of color.

None of the above.

Your Age Range *

17 and under

18-25

26-40

41-55

55+

Where are you from (State and Country)? *

What is your education level? *

Less than a high school diploma or GED

High School Diploma or GED

Some College

Associate's Degree

A little more than Associate's But Not Yet a Bachelor's Degree

Bachelor's Degree

More than a Bachelor's Degree

What is your annual income? *

under $10,000 USD

$10,001 - $25,000 USD

$25,001 - $40,000 USD

$40,001 USD - $60,000 USD

$60,000 USD - $100,000 USD

$100,000+

What do you believe is the main cause of poverty? *

Inadequate educational systems

Lack of resources to end poverty

Lazy People

Low Wages or Lack of Money

Not enough jobs

Politics and Government

None of the Above

What is currently stopping you from building a more stable, fulfilling and financially secure life for yourself and your loved ones? *

I don't know where to start.

I don't have enough money to hire a coach a mentor. / Not Enough Money

I have disabling health issues.

I don't have any support (i.e. community, advisor, etc.)

I don't have access to enough resources.

I am not motivated enough.

Other:

What is poverty to you, and what are your current thoughts on poverty, the existence of poverty and what can be done about it (or solutions)? *

What do you think community organizations can do to better reach and serve their communities? Or what do you wish they would do more of? What do you think they can do better? *

What problems / obstacles do people of color face on their journey to a higher quality of living? If you are a person of color, what are some obstacles you have personally faced? *

What problems / obstacles do people of African descent face on their journey to a higher quality of living? If you are a person of African descent, what are some obstacles you have personally faced? *

How has COV-ID 19 impacted you / your loved ones? *

What's Your Opinion: Why do you think people of African descent are the least likely to attain a higher quality of living? *

Are you currently seeking a life coach or life coaching resources? Choose the best answer for you. *

Yes, I am seeking a life coach / resources for personal / mindset development.

Yes, I am seeking a life coach / resources for professional / career development.

Yes, I am seeking a coach / resources for leadership development.

Yes, I am seeking a coach / resources for financial planning and wealth building.

Yes, I am seeking a coach / resources for multiple types of development.

No, I am not looking for a coach / resources at this time.

What would it take for you to get started with a life coach / life mentor this week? *

Would you be interested in scheduling a call with us? *

Yes

Maybe

If you could have one wish granted to you right now to help you go from #StruggletoStability, what would it be? *

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms