Please complete this questionnaire. 

The questions are designed to help you lay a foundation for yourself and your colleagues as we prepare to launch 6 months of personal and professional self-discovery and action toward your goals.

You can make the answers as detailed or as simple as you like. Once submitted, your answers will be emailed to you and me, and then you will have opportunities to share parts of it with your colleagues in the Rebel Leadership Facebook Group. 

*Your privacy is very important to me. This questionnaire and your answers will not appear on my website and is a completely confidential process.