Manage Up/Out Name * Company * Company employed by OR if referred by someone else please list name of person who referred you to Career Success Email Optional - Would be helpful to include this just in case we had feedback for you on your thoughts. Phone Optional - Would be helpful to include this just in case we had feedback for you on your thoughts. 1. Time invested * How much time did you take to watch video / read white paper, etc., take notes and really learn what was being shared? 2. What video / white paper did you watch / read? Ideally copy / paste URL (web address) for lesson or full name of the lesson. 3. I Learned . . . What was the best thing you learned from this video, white paper, etc.? 4. Action I Will Take . . . How do you believe you will apply this to your business, life and/or career? 5. What I need to learn next . . . What do you believe you need to learn next to move you closer to achieving your full potential? This could apply to you personally or even apply to your co-workers / team. Would you like someone to connect with you about this video, white paper, learning resource to assist you in better apply it and/or would you have another challenge you are facing in any area of your life you would like assistance on? "No Thank You" I am good at this time "Yes Please" connect with me on this video "Yes Please" connect with me on another issue/challenge If "Yes" on another issue/challenge . . . Please provide some level of details as to the other issues/challenges so we are able to select the best Life Masteries Institute certified career/life coach to assist you in your specific area of need.