Date
*
MM
DD
YYYY
Name
*
First Name
Last Name
Birthday
*
Email
*
Phone
*
(###)
###
####
Social Media Name(s)
*
Education Level
*
Select all that apply.
High School
Some college
Associates Degree
College Degree
Masters Degree
Please describe the type of student you are.
*
Are you better at detailed note-taking or offering a comprehensive summary of information presented to you?
*
Note-taker
Teacher/Summarizer
Designate which programs you have personal or professional experience in.
*
Select all that apply.
Microsoft Word
Microsoft Excel
Microsoft Powerpoint
Microsoft To Do
Adobe Photoshop
Adobe Illustrator
Adobe Acrobat
Canva
InDesign
Squarespace
Quickbooks
Google GMAIL
Google Calendar
Google Drive
Google Forms
Google My Business
Google Analytics
Healthie
Flodesk
Mailchimp
YouTube
YouVersion
Vimeo
Zoom
Dropbox
IG
Facebook
Yelp for Business
Please describe a current or former responsibility you managed that required you to pay great attention to detail.
*
Please describe the type of worker you are. [Have fun with this :)]
*
Your best work day includes...
*
Select all that apply.
Working on a computer (creating, designing, writing, editing)
Anything organization (physical or digital)
Planning and strategizing (independently or with others)
Pouring into time-intensive projects
Completing non-time-intensive tasks
Physical labor
Human relations
All things serving the CEO (Coach Keri)
Creating content
Networking
Fundraising
List 5 things you are ALREADY motivated to do every day.
*
What are your top 5 StrengthsFinder Strengths?
*
Are you artsy?
*
Call me artsy!
Not really :)
Do you have photography or videography skills?
*
Select all that apply.
Photography, yes
Videography, yes
Neither!
Does marketing excite you or burden you?
*
Marketing excites me!
Marketing burdens me.
Do you have experience fundraising?
*
Yes
No
Which attitude description sounds most like you?
*
Select all that apply.
“I’m going to get the job done, well, and on time!”
“I’ll lay down my creative priorities, to serve those of the CEO.”
"If I don’t know what Keri wants, I’ll ask her again."
"If Keri changes her mind with what she wants, I’ll respond well."
"If Keri needs help with the biggest burdens, I'll gladly support."
"I’ll be postured to receive Keri’s direction."
"I'll be respectful to work for (not against) her pace/process.”
Describe in detail a situation that you experience negative stress?
*
What do you when you experience negative stress?
*
In what situation(s) do you thrive most?
*
Select all that apply.
Outside
Inside
In-Person
On the phone
Emails
1:1
Small Group
Large Group
Live online
Behind the scenes
In-person Workshop
Online Webinar
Community Outreach
Networking lunch with 1
Networking presentation for 15
With due dates
With accountability
With encouragement
With correction
In what four areas do you need the most growth?
*
Select three.
Emotional Intelligence
Freedom
Reflection
Purity
Forgiveness
Communication
Organization
Timeliness
Follow-Through
Blaming others
Attention to Detail
Attitude
Focus
Competence
Conflict-Resolution
Energy
Time Management
Grace
Accuracy
Reconciling relationships
Pursuing counsel
Listening
Creativity
Innovation
Discipline
Cooperation
Leadership
Patience
Overcoming offense
Understanding
Retention
Optimism
Perseverance
Integrity
Soul Health
Body Health
Awareness
Passion
Strategic Thinking
Resilience
Managing Relationships
Intrapersonal processes
Receiving correction
When you hear the word "expectations" what comes to mind?
*
Select all that apply.
"Yikes"
"Yes, please"
"Pressure"
"Healthy"
"It's a journey"
"Hurtful"
"Unrealistic"
"Good for me"
"Hard"
"Accountability"
"None is best"
"None is unrealistic"
"Trying to figure this out"
Please describe the type of friend you are.
*
Who is Jesus to you?
*
In a few of your own words describe Wholly Healthy's vision.
*
How many hours/week are you available & willing to invest in Wholly Healthy?
*