Self Confidence Survey

1
Age Range* This field is required.
18-27 (Gen Z)
28-42 (Millennials)
43-58 (Gen X)
59 + (Baby Boomers+)
2
Which best describes your work/industry?* This field is required.
Banking/Finance
Healthcare/Insurance
Marketing/Sales
Non Profit/Education/Public Service
Real Estate/Construction
Entrepreneurship/Small Business Owner
None of the above
3
Chose "none of the above"? Which industry do you currently work in?
4
Current Job Title* This field is required.
5
How long have you been in this role?* This field is required.
0-3 years
4-6 years
7-9 years
10+
6
Select ALL that apply to your work/industry* This field is required.
I am usually the only woman in my role or in my company
I am usually the only one of my race in my role or in my company
I am usually the youngest/oldest one in my role or in my company
None of the above
7
Chose "none of the above"? Tell us how you view yourself in your work/industry.
8
When it comes to the role you play in your company, choose the statement that is most true* This field is required.
I am a thought leader and spend most of my time sharing my feedback, thoughts and ideas.
I am a manager and spend most of my time managing initiatives and people.
I spend most of my time completing projects, assignments and/or a set of tasks that I’m responsible for on an ongoing basis.
None of the above
9
Chose "none of the above", what best describes your role?
10
When faced with a challenging project or in a team meeting, choose the statement that is most true* This field is required.
I am very confident, I actively contribute or often take the lead
I am somewhat confident, I express ideas but might hesitate to take the lead
I am not very confident, I struggle to voice my ideas or take charge
I feel uncomfortable and rarely contribute
11
Select ALL that apply to how you view yourself within work/company* This field is required.
I often compare myself to my colleagues, peers, boss and/or team members
I look at other people’s accomplishments and question whether I have what it takes to get the job done or impact change
I am very comfortable with my strengths and abilities and very rarely compare myself to others or question my value
12
When it comes to situations where you face uncertainty or imposter feelings at work/in your industry, choose the statement that is most true.* This field is required.
I embrace the challenge and push through with confidence
I seek support or guidance to navigate through doubts
I feel overwhelmed and struggle to manage the uncertainty
I retreat or doubt my abilities, impacting my confidence greatly
13
When it comes to gender and/or race dynamics impacting your level of confidence at work/in your industry, choose the statement that is most true.
Gender and/or race dynamics have no impact on my confidence
Occasionally, gender and/or race dynamics affect my confidence
Gender and/or race dynamics often impact my confidence
Gender and/or race dynamics significantly undermine my confidence
14
When it comes to your working relationship with your team members, colleagues and/or boss, choose the statement that best describes your communication
I am a people person and am comfortable with sharing my ideas and feedback
I am not a people person, however, I am good at managing when and what I communicate to my colleagues, team members and boss
I struggle with my communication and tend to keep my ideas and feedback to myself
My communication skills are okay, however, I want to get more confident and assertive in sharing my ideas, feedback and solutions.
15
When it comes to prioritizing your health and wellness over the demands of your job, choose the statement that is most true* This field is required.
My work is very demanding and leaves me little to no time to focus on my health, self care and/or beauty.
My work is very demanding, however, I incorporate at least one self care break (i.e. spa day, reading, resting, walking, vacationing etc.) into my weekly/monthly schedule
I would love to incorporate a self care break into my weekly/monthly schedule, but just don’t know where to start. I need help.
My selfcare, health and beauty is not a priority to me.
16
What is your go-to self care practice?Select your top 2-3
Resting
Exercising/Working Out/Dancing
Reading/Journaling
Praying
Salon/Spa Day
Yoga
Reiki
Other
17
Chose "other"? Tell me your go-to self care practice.
18
Choose the statement that best describes your professional development goals* This field is required.
I am actively involved in professional development/learning opportunities to improve my leadership skills
I am not actively involved in any professional development/learning activities but am seeking opportunities to improve my leadership skills
I am not interested in growing my leadership skills
19
My go to method for growth, learning and/or professional development includes which of the following. Select your top (2)* This field is required.
Coaching and/or mentoring
YouTube and/or Podcast
TikTok and/or other Social Media
Reading Books and/or Self Help Programs
Writing/Reflecting/Journaling
20
The top two (2) things that motivates me the most are* This field is required.
Family
Money
Accomplishments/Goal Attainment
Learning/Growing
Other
21
Selected "other"? What motivates you the most?
22
What is your ONE biggest struggle within your current role/industry?* This field is required.Answer in 1-2 words or phrases.
23
What is your ONE biggest success within your current role/industry?* This field is required.Answer in 1-2 word or phrases.
24
What is your ONE biggest struggle with prioritizing your health and wellness over the needs of others?* This field is required.
25
What are the top 2 topics you would like to get more resources and/or coaching as you grow through your new season?* This field is required.Select only 2
Leadership Tips & Development
Confidence Building
Professional/Personal Goal Setting
Strategic Planning
Beauty & Style
Movement & Dance
Reiki
Numerology
Nutrition
Yoga
Nope, not interested
26
Provide your email. We'd love to stay connected with you. Plus get free tips to be a more Confident & Healthy leader and enter to win a voucher for a complimentary service from one of our partners (i.e. leadership coaching, yoga, beauty consultation, strategic planning) through the Balance co-community.* This field is required.Disclaimer: You'll receive emails with event info, learning resources, paid offers and more from Women Who Love&Lead and/or our partners. Type "N/A" if you do not want to be added to our email community. You will still be able to submit your questionnaire but WILL NOT be entered to win a the Self Care Package, as we need to contact winners.
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