Excellence Survey

Excellence Survey

What makes you tick?
Thank you !! Thank you ! For listening to the show. Thank you ! For contributing to our mission and lastly but most importantly THANK YOU for being you !

This form is designed to collect data from from our audience to understand what makes people define, pursue and unleash their excellence.

Over the years we have come to the conclusion that to make a significant impact in any fiedd we need empirical data. Hence, it is critical for us to measure and understand what is most relevant for you.

Please know that your responses will not be used for marketing spam. We will also ensure to keep the data that you share confidential.
Name*

First NameLast Name
Email*
example@example.com
Profession *
Age
How would you define excellence?*
How likely are you to step out of your comfort zone in order to achieve what you want?*

Extremely InterestedVery InterestedModerately InterestedNot Very InterestedNot at All InterestedNot sure
What are your 3 key strengths that you would like to build upon?*
What is your one major weakness that you would like to overcome?*
What did you find most valuable in our conversations in the podcast?*
What else would you like to hear about on out podcast? (we are open to suggestions)*
Should be Empty: