Page 1 of 2

Rebuild Lab Fall Cohort Interest

Thank you for your interest in Rebuild Lab. This is a small-group experience for ambitious women in GTM and leadership who are rebuilding through burnout, reinvention, motherhood, midlife shifts, career shock, or another high-pressure season.

This form helps me understand who this cohort is most for, what support women are craving right now, and how to design the experience with real care. If it feels aligned, I’ll share first details with you as they’re released.

First Name

Last Name

Email

LinkedIn Profile

Time Zone

Current Function

Which season are you in right now? Select all that apply.

Burnout or exhaustion

Career transition or reinvention

Leadership growth / new level of responsibility

Motherhood / parenting pressure

Perimenopause / health-related transition

Financial pressure or household stress

Grief / loss / major personal disruption

Feeling successful on paper but disconnected inside

Other

What feels hardest in this season?

What do you most want support with? (Choose up to 3)

Clarity on what I want next

Rebuilding confidence

Leadership under pressure

Energy / burnout / boundaries

Navigating motherhood and ambition

Midlife / identity / hormone-related changes

Career strategy and decision-making

Feeling less alone

Turning insight into action

Have you participated in a cohort, mastermind, or coaching program before?

Yes

If yes, what worked well for you and what didn’t?

What kind of format would be most realistic for you?

Weekly 60-minute live calls

Biweekly longer sessions

Small group with async support

Mostly async with occasional live sessions

Not sure yet

What level of investment feels realistic for the right experience?

Under $1,000

$1,000–$2,000

$2,000–$4,000

$4,000+

Depends on the structure / employer support

Would your company potentially sponsor leadership development like this?

Yes

Maybe

Not Sure

Is there anything important you want me to know about your current season, identity, or context?

Would you be open to a short follow-up conversation if it feels like a fit?

Yes