*Name:

Leadership During Crisis - Boot Camp
(please use additional paper if you run out of space for your answers)

SECTION I: WHY ARE YOU ATTENDING Leadership During Crisis - Boot Camp?

1. What motivated you, or what is your compelling reason, for attending Leadership During Crisis - Boot Camp?

*

2. What is the one thing you most want to learn, develop, change or reinforce at Leadership During Crisis - Boot Camp?

*

3. How do you intend to measure your achievement from Leadership During Crisis - Boot Camp?

*

4. List 3 of your other goals for next 12 months.

*

SECTION II: HOW PRODUCTIVE IS YOUR ORGANIZATON/TEAM?

5. What is your primary focus in Leadership During Crisis - Boot Camp? Where have you put the time and energy in your organization or team?

*

6. Please describe 2 events that have shaped the your Leadership Style, and what you learned from them?

Event # 1:

*

What I learned from this event:

*

Event # 2:

*

What I learned from this event:

*

SECTION III: WHAT LEADERSHIP QUALITIES DO YOU HAVE?

7. Please list 8 (eight) most important qualities in order of significance and elaborate.

	*Most significant:	1.
		2.
		3.
		4.
		5.
		6.
		7.
		8.

8. Which qualities do you most want to improve?

*

SECTION V: WHAT EMOTIONS, MOTIVATIONS AND SITUATIONS DRIVE YOUR LEADERSHIP DECISIONS?

9. In what areas of your work do you experience the most stress? What creates that stress? (Be specific).

*

10. How do you get out of stress? What “coping mechanisms” do you use to feel better?

*

11. What emotions & behavior do you experience on a regular basis that you would like to change/eliminate?

*

12. What makes you a good leader?

*

13. If you given a choice, would you revamp your organization? Why and how?

*

14. What was your BEST leadership Decision? Why?

*

15. What was your WORST leadership Decision? Why?

*

SECTION VI: PLEASE TELL US A LITTLE ABOUT YOURSELF:

*Your age: 12-17 18-21 22-29 30-39 40-49 50-59 60-64 65 or older

*Highest Level of Education Completed:

Less than High School High School Jr.College/Trade School

Bachelor′s Degree Postgraduate Study Postgraduate Degree

*Approximate Annual Family Income (US dollars please):

0-$24,999 $25,000-$74,999 $75,000-$149,999

$150,000-$-$249,000 $250,000-$749,000 $750,000+

*Country of Your Principal Residence:

*Why did you commit your time, energy, and resources to attend Leadership During Crisis - Boot Camp? (Please place in sequential order all those that apply, 1 being most important to your decision)

A live presentation by Arthur F. Carmazzi

A conversation with a friend, relative, or associate

A letter/invitation you received from Directive Communication International

A letter/invitation you received from Arthur F Carmazzi

Listening to audio CDs (please list):

A Conversation you had with a DC Franchisee

A brochure you received from Directive Communication International

Other (please describe specifically):

Other comments:

*