Achieve More LLC Leadership and Learning Insights Form

Leadership and Learning Insights Form

Welcome! Please take 3-5 minutes to reflect briefly on

the successes and challenges tohelp align the discussion, presentation, or consulting.

Share any specific issues, opportunities, or questions you'd like to explore. We will use your feedback to determine opportunities for a future focus.

The information remains confidential.

Thank you for connecting!

©AchieveMore LLC – https://www.achievemorellc.com/laser-lessons

Mariama S. Boney, LMSW, CAE, CPEC

mboney@achievemorellc.com

Let's Connect!
Email*
example@example.com
Name*

First NameLast Name
Direct Phone Number*

Area CodePhone Number
Organization/Title/Role
How would you characterize your current DEI, Leadership, or Wellbeing needs? (check all that apply)*

Assessment/DataCoaching (Personal/Professional/Board/Team)Consulting/CultureDiversity, Equity, Inclusion, Access, AccessibilityLeadership and Team BuildingOrganizational EffectivenessPublic Relations and CommunicationsPublic Speaking/Keynote/Featured WorkshopRecommendations/Strategy SessionSelf-care/Wellbeing/WellnessStrategic PlanningSummary ReportOther
1. How well are you currently achieving the leadership, DEIA, team, wellness, or organizational goals/targets?*
1. How many partcipants?*
2. What are you hoping to accomplish? *
3. What high level/primary goals, objectives, and/or targets are you hoping to reach?*
4. Current Level of Trust and Transparency*

Rate your perception of the current level of openness and confidence that exists in the organization, within the team, or with stakeholders.
5. Readiness for Small Steps Toward Transformation*

Rate your openness, commitment, and capacity to be involved in the growth and change leadership process or journey. And a willingness to move through excitement as well as disappointment.
6. Who is accountable for the progress and transformation?*
List role(s) or title(s)
7. What do you want participants to be able to do as a result of the experience?*
Skills, knowledge, attitude, behaviors, or KPIs you hope for.
8. Where are you on your learning, planning, or dialogue journey?*

At the next levelOngoingResettingRecently startedJust beginningOther
9. Is your desired state fully supported by all stakeholders?*

YesSomewhatNot reallyUnsure
10. Is there a specific timeframe, dates, or times involved? *
For example: May-November; 4/25-26/2023; 3/22 from 11:00am-4:00pm ET/CT/PT/MT;
What is your budget range? Will you need any in-kind or sponsorship?*
Approximate budget range or To Be Determined;
Setting*

In-personHybridVirtualUnsureOther
Any comments, ideas, additional insights, strengths, opportunities, or concerns?
Should be Empty: