Welcome

1

Your Name* This field is required.

2

Email* This field is required.

example@example.com

3

Organization/Team Name* This field is required.

4

Your Role* This field is required.

5

Best way to reach you* This field is required.

Email

Slack

Phone

Text

6

How many people are on your immediate team* This field is required.

7

Total organization size* This field is required.

8

Where does your team work* This field is required.

Fully remote

Hybrid

On-site

Mix

9

Which department(s) would this work involve* This field is required.

10

What's the main thing keeping you up at night about your team or workplace culture* This field is required.

11

Which of these feel most urgent right now* This field is required.Check all that apply

12

How long has this been going on* This field is required.

13

Have you tried to fix this before? What happened?* This field is required.

14

What worked, what didn't, what made it worse* This field is required.

15

If we could solve just ONE thing by the end of our work together, what would it be?* This field is required.

16

What would a true 'win' look like for you and your team?* This field is required.

17

Be specific - what would you see, hear, or feel that's different?* This field is required.

18

In a perfect world, what does your workplace culture look and feel like?* This field is required.

19

Paint the picture - how do people interact, what's the energy, what's possible that isn't now?* This field is required.

20

How do people feel when they come into work?* This field is required.

21

How do people feel when they leave work?* This field is required.

22

Do people feel connected to each other? Do they feel like they're part of a community?* This field is required.

Yes

No

Some do, some don't

Not sure

23

What does 'community' mean to you?* This field is required.

24

What would it look like if your team actually had it?* This field is required.

25

Do people feel fulfilled in their roles?* This field is required.

Yes → What's making that possible?

No → What's missing?

Some do, some don't

26

What does leadership mean to you?* This field is required.

27

How would you describe your leadership style? Or the leadership style of the people you're worried about* This field is required.

28

How are these challenges impacting people emotionally?* This field is required.

29

Are there issues around belonging, safety, or inclusion we need to know about?* This field is required.

30

Are certain people or groups feeling left out, unseen, or unsupported?* This field is required.

31

What's the 'unspoken' cost of all this?* This field is required.

32

TURNOVER, sick days, people quitting quietly, talent leaving, productivity tanking, etc.* This field is required.

33

What systems or processes feel broken, inefficient, or outdated?* This field is required.

34

What HAS worked well for your team in the past?* This field is required.

35

Are there any urgent deadlines or sensitive periods we should plan around?* This field is required.

36

Have there been any major changes recently?* This field is required.

37

When someone on your team raises a concern or gives honest feedback, what's the usual response? How do people know whether it was actually heard?* This field is required.

38

When was the last time your team had an honest conversation about how things are actually going?* This field is required.

39

What are you most afraid will happen if nothing changes?* This field is required.

40

Who on the team is struggling most right now, and why?* This field is required.

41

Are you and your leadership ready to prioritize time and energy for this work?* This field is required.

Yes

No