Form

First Name*

Last Name*

Email*

Time spent in meaningful and engaging work on a weekly basis (T)*

1 means ~10% of your capacity, 10 means 100% of your capacity, i.e., fully utilizing your time

Effort Intensity on a weekly basis (EI)*

1 means minimal focus/effort, 10 means peak intensity and focus

Stress Load on a weekly basis (SL)*

1 means very low stress, 10 means extremely high stress

Recovery Quality on a weekly basis (RQ)*

1 means almost no recovery, 10 means excellent recovery practices

Work Type Distribution*

What best describes how your work time is spent?

Mostly strategic (75%+) – High-value deep work, proactive planning, problem-solving.

Balanced (50/50 strategic & reactive work) – A mix of execution and planning.

Mostly reactive (75%+) – Frequent interruptions, urgent tasks, troubleshooting.

Decision Complexity*

Which best describes the majority of decisions you make in your role?

Operational & Routine – Decisions mostly involve daily tasks, approvals, or process execution.

Tactical & Team-Based – Decisions often impact teams, projects, and process optimization.

Strategic & High-Impact – Decisions involve business direction, hiring, budgeting, or positioning.

Critical & Crisis-Based – Decisions often involve high uncertainty, risk mitigation, or rapid adaptation.

Sleep Consistency & Quality*

How structured is your sleep schedule & duration?

Highly consistent (Same schedule, 7+ hours, wake up refreshed)

Somewhat consistent (Minor fluctuations, 5-6 hours, occasional fatigue)

Inconsistent (Irregular schedule, <5 hours, frequent exhaustion)

Work-Life Regeneration*

How much time do you dedicate to non-work activities that replenish your energy & focus? (exercise, hobbies, mindfulness, and social life)

Structured & prioritized (10+ hrs/week) → Intentional and regular energy-building practices.

Moderate & inconsistent (5-9 hrs/week) → Some habits, but deprioritized during busy periods

Minimal (2-4 hrs/week) → Few recovery activities, often sacrificed for work

Negligible (0-1 hrs/week) → No structured restoration outside of work

Work-Life Boundaries*

How often do work demands extend beyond your regular hours?

Rarely (Strong boundaries, work rarely intrudes into personal time)

Occasionally (Some spillover, but I can usually disconnect)

Frequently (Work often intrudes into my evenings/weekends)

Current Role*

Years in Leadership*

Biggest Current Leadership Challenge*

What is the biggest challenge you’re facing right now in your leadership role? Describe it in 1-2 sentences.

Age

Self-reported energy level

What's the overall energy level you feel, on a weekly basis?