Quick Quiz: Ready to Take it to the Next Level?

This quick survey is meant for business owners, managers, or other working professionals who may be ready to take it to the next level.

1. I know exactly what my "mission" is, and I make good decisions quickly.

	Strongly agree
	Mostly agree
	I have good days and bad days
	I feel unsure about my mission and/or decisions
	This is a real challenge for me

2. I have written goals for improving my business performance or professional development.

	Yes
	No

3. I am making real, measurable progress toward my goals and feel I am on track for achieving them.

	Yes
	No

4. I believe that I can experience a life and a style of work that is more Extraordinary than Ordinary, or at least make significant gains toward being more Extraordinary over the next 6 months.

5. The three things that stress me most in my work (on a frequent basis) are:

1
2
3

6. I am ready to explore ways to at least partially relieve the stress from all 3 of the above.

	Yes
	No

7. Assuming I have more time and money and peace-of-mind, these 3 things are at the top of my "Want-To-Do's":

1
2
3

8. What's stopping you from making it happen? (Hint: If you said time or money, think again--because it is very likely that you are spending time and money on things that do not move you closer to your goal(s).)

9. I am interested in learning more about how affordable, professional coaching can help me achieve my goals, and I would like to take advantage of a complimentary consultation.

I agree that I am under no obligation to purchase anything, and I understand that my information will not be shared with others.

10. Please enter your contact information (kept confidential).

First Name

Last Name

Email Address

Street Address

Apt/Suite/Office

City

State

Postal Code

Phone Number