GETTING TO KNOW EACH OTHER

Discovery Call Intake Form

Full Name *

Email Address *

Phone Number *

Your Role *

Organisation *

Which of these best describes your current situation? *

Journey Positioning

Which of these best describes where you are in your journey? *

Building my foundation (early career / new to leadership)

Balancing leadership and life demands (mid-career growth)

Ready to reinvent my next chapter

Leading at the top (exec/senior)

Navigating team or org change

Scaling or growing my own business

Which of these best describes how you feel right now? *

How ready are you to make a change right now? *

Just exploring

Know I need change, unsure how

Made some changes, need support

Ready to take action now

Which area feels most important to focus on right now? *

SPACE – Creating clarity and reflection

POWER – Leading with influence and presence

RESILIENCE – Rebuilding confidence and momentum

What do you want to achieve? *

Have you tried any solutions before? What?

Why do you think they didn’t work? *

What do you think is standing in your way? *

Which services pique your interest?

What motivates you to take action now? *

How much are you prepared to invest (NZD)? *

$1,000 - $2,500

$2,500 - $5,000

$5,000 - $10,000

$10,000+

How did you hear about me?

Anything else you'd like me to know?

Thank you I Ngā mihi nui

Every journey starts with taking the first step

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+64 27 200 8108

+1 877 283 1721

[email protected]

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