Productive Day Survey

First Name*

Last Name*

Company name*

Position / Job Title*

Best phone number*

Best email address*

Please rate your current level of workday efficiency, which reflects how much time, energy, and effort you spend to get your work accomplished. (1 is very low, 10 is very high.)*

Please rate your current level of workday productivity, which reflects completion of tasks and projects, and finishing what you start. (1 is very low, 10 is very high.)*

Stress can result from many things in our lives, both personal and professional. If you focus only on the stress that results from how you're managing tasks, time, email, and information, please rate your level of stress as it relates ONLY to how you're managing your work and workday. (1 is very low, 10 is very high)*

Please rate how important it is to improve your efficiency and productivity at work. (1 is very low, 10 is very high)*

What goals will you be able to achieve once you're more efficient, effective, and productive?*

What will it be worth to you when you achieve the goals you listed above? Think of the lost time, missed opportunities, past-due deadlines, forgotten follow-ups, stress, and sleepless nights you may have had in previous months. What approximate value would you place on the targets, goals, and results you could achieve when you increase efficiency, productivity, and progress?*

What do you feel is your biggest obstacle to achieving the goals you listed earlier?*

Please rate your level of readiness to learn new skills and change current habits and systems.*

Right now I…*

Have the budget or financial resources to invest in becoming more efficient and productive.
Have access to a budget or the financial resources to invest in becoming more efficient and productive.e
I don’t have a budget or any financial resources at all and I’m going to keep my workday efficiency and productivity levels where they are.

Tell us which apps you use for email and tasks today?*

Yes, I use Microsoft Outlook
No, I use something else

I'll call you at the time you have selected. Please commit to your appointment by typing this sentence in the box below: “Yes, I promise I will answer the phone for my Strategy Session when Leslie calls me!”*

Are you committed and excited about TRANSFORMING your workday and SKYROCKETING your productivity and progress? I hope so! Let me know on this 1 to 10 scale, where 1 is "Not at all" and 10 is "ABSOLUTELY!"*