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Your Company Name

Your Position Title

Email*

How many months have you been a people leader?*

What is your biggest leadership challenge?*

Are you committed to regularly meeting with your coach and taking action in between calls?*

On a scale of 1-10, how trusting are the relationships you have with your direct reports?*

What is your biggest fear?*

What is your current energy level (scale of 1 to 10, with ten is high)*

What prompted you to apply for this program?*

What would make this a 10 out of 10 experience for you?*

Provide details*

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