*Your Name
*Your Email
*Home phone
Work phone
Address
City
State
Postcode
Country
*How did you find out about us?
*How would you describe your feelings about your present career?
Frustated Uncertain Confused Satisfied Curious about new options I'm doing what I was born to do Other
*What do you want more of in your life?
Control Security Independence Challenge Financial Rewards Freedom Time Other
*Five years from now, if you stay on your present career path, how do you see your options?
Replaced by technology Victim of downsizing Pidgeonholed in middle management Stuck where I am now Promoted to a more powerful position Other
*How do you see yourself achieving financial independence?
Work for a corporation Live off my investments Own my own business Make a killing in real estate Strike it rich with a dot.com company Other
*What is your biggest concern about changing careers?
Change lifestyle Family won't support Can't afford Get stuck Other
*What statement best describes you?
I like lots of info before I make a decision I'm action-oriented happiest when in charge I'm a people person. I value consensus at work I'm calm under pressure a logical decision maker
*If you knew you couldn't fail, what career would you choose?
