Personal data

Name and Last Name:

Your email

Your phone number

Company and Position:

Your age:

Reflecting on your leadership journey

What is your current professional situation? (e.g., Job title, industry, main responsibilities):

On a scale of 1 to 10, how would you rate your professional well-being? (1 = extremely unsatisfied, 10 = fully fulfilled) - One word to describe this feeling:

What has been a defining moment in your career so far? (Describe briefly)

Exploring your needs and aspirations

What is your biggest challenge in adapting your leadership style to the digital age?
Grasping the complexities of emerging technologiesBalancing the drive for innovation with the needs and well-being of your teamLeading with confidence in the face of market uncertaintyOther challenges you face as a leader (please specify)
What do you consider your greatest strength or unique talent—the quality that defines your "genius zone" as a leader?

Which of the following areas would benefit most from mentorship or mastermind?(Select up to two)
Mastering digital toolsDeveloping an adaptable mindsetBuilding supportive networksPracticing empathy and inclusivity in leadershipOther (please specify)

Looking forward

After this session, what is one action you feel inspired to take to elevate your leadership?
Would you like to explore joining this mastermind for deeper growth and connection?
YesNo