Name

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Last

Organization

today? room long-term

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Address

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Address Line 2

City

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Zip Code

1. Looking back at your career, what decision truly changed the course of your business—or your life as a leader?

2. What’s one "business rule" you follow religiously, no matter what?

3. What’s one "business rule" you tend to ignore—or break—because it just doesn’t fit reality for you?

4. What’s a lesson you learned the hard way—something no book or mentor could have prepared you for?

5. Which early belief about leadership or business turned out to be completely wrong, in your experience?

6. What’s one boring, unglamorous habit your business does consistently that you credit with long-term success?

7. Think about your blind spots. Which one challenged you the most, or are you still working on today?

8. What’s something your business had to stop doing in order to actually move forward?

9. What is the hardest business decision you’ve made in the last 24 months—and what did it cost you?

10. Is there a problem in your business you currently avoiding—or delaying—that you know won’t fix itself?

11. If accepted, how would your presence make the room more valuable—not just for you, but for others?

Explain:

Referring Member: (Members earn $100 cash reward for each referral accepted)