Personal Effectiveness Checklist

Completing and submitting this checklist will initiate a complimentary phone discussion regarding your particular situation.  During that time, we can talk about the items you checked and chat about how I can help you achieve the results you are looking for.  At no time during this process are you obligated to purchase or invest in the services of CareersPlus Inc.

General Information:
Miss/Ms./Mrs./Mr.
*First Name:
*Last Name:
*Telephone:
Confidential Voice Mail:	Yes   No
Best time to contact you?
Identify key issues that are preventing me from moving forward Support and encouragement to change self-defeating behaviours Help in clarifying my goals Additional support in handling the challenges I'm facing with my manager or supervisor Learning more effective habits to improve my performance Identify how I can have more positive interactions with others Develop more effective methods to manage my time Make decisions with less stress Learn to take greater risks more comfortably Manage my priorities more effectively Feel less anxious about my work situation Make more informed choices
Message:
Confidential email: