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CAREER REALITY CHECK INTAKE FORM

What is your name?

What is your preferred email?

What’s your current job title?

How long have you been in this role?

What’s your current salary?

List 1-3 past jobs that shaped your skills?

Any promotions, leadership roles, or achievements you are proud of?

What’s are 3-5 skills you feel confident in?

What do people usually ask for your help with?

What’s your biggest frustration with your current job/career?

What do you feel is holding you back from growing?

What’s your short term goal (2-5 years)?

What’s your long term goal (5 years)?

How much extra income would you want to make outside of your job per year?

What industries, hobbies, or creative areas excite you?

Are there any skills you’ve always wanted to build?

How many hours can you reasonably dedicate to building extra income?

Are you willing to take action immediately?

Are you willing to take action immediately?
A
B

Thank you for completing your intake.

Once I receive this, I'll prepare your Career Reality Check with a clear read on your strengths, bottlenecks, and next steps. You'll hear from me before our session.

Zhania Frazier 

Chief Operating Officer of Revamped Group

 Client Transformation Strategy