Assessment Form

Select the appropriate answers

1) How did you find out about Insights2Improvement, Inc.?

If referred, by whom?

2) What type of business are you in?

If Other, explain:

3) How many employees are in your organization?

4) What is your job title?

If other, explain:

5) What is the focus of your search?

Improved Performance

Increase Sales

Increase Communications

Reduce Employee Turnover

Selecting Employees

Other

If other, explain:

6) Please select one or more assessments that you would like to receive more information on and/or complete for free:

DISC Communication/Behavior Style

Workplace Motivators

DISC Work Environment ( Job Benchmark)

Emotional Quotient (Emotional Intelligence)

TriMetrixHD Job Survey (behaviors, motivators, competencies, skills/attributes)

TriMetrix Personal Talent (behaviors, motivators, competencies, skills/attributes)

Time Mastery

Workplace Expectations (engagement)

Discovering Diversity

Dimensions of Leadership

Team Dimensions

Teams4Levels of Excellence

Personal Information

First Name:

Last Name:

Company:

Country:

State:

Zip/Postal Code:

Phone Number:

Business Email:

Repeat Business Email:

Additional Comments:

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