AiExQ™ Leadership Intake | Chloe Kelley
Complete this intake so Dr. Cherry can prepare a session tailored to you.
About You
Full Name
*
First Name
Middle Name
Last Name
Email Address
*
example@example.com
Current Title / Role
*
Industry or Sector
*
How long have you been in your current role?
*
Please Select
Less than 1 year
1-3 years
3-5 years
5-10 years
10+
How many people do you lead or influence?
*
Please Select
Just myself
1-5
6-20
21-50
50+
Your AI Landscape
How would you rate your current comfort with AI tools?
*
Brand new
1
2
3
4
5
6
7
8
9
Highly confident
10
1 is Brand new, 10 is Highly confident
Which AI tools or platforms have you tried?
ChatGPT
Microsoft Copilot
Google Gemini
Claude
Midjourney
None yet
Other
How are you currently using AI in your work, if at all?
*
What's your biggest frustration or confusion with AI right now?
*
Your Leadership Goals
What are your top 1-3 leadership challenges right now?
*
Where do you feel stuck or slowed down in your work?
*
What does a win look like for you 90 days from now?
*
Your Intensive Goals
What do you most want to walk away with from your 4-hour intensive with Dr. Cherry?
*
Are there specific topics, tools, or outcomes you want to focus on?
*
Is there anything Dr. Cherry should know before the session?
Scheduling Preferences
Preferred session format
*
Virtual (Zoom or similar)
In-Person
Preferred days
*
Monday
Tuesday
Wednesday
Thursday
Friday
Preferred time of day
*
Morning (before noon)
Midday (12-2pm)
Afternoon (2-5pm)
Evening (5-8pm)
Submit My Intake
Should be Empty: