Burnout Reset Program Form

Burnout Reset Program Application

Here’s how we can get to know each other a little before working together* on the Burnout Reset Program:

Fill in the questions below
We will assess and book a 15mins call with you
We will decide suitability, and if it is a right fit, we will get you booked into the Burnout Reset Program to begin the process of reclaiming your professional mojo and personal wellbeing.

The first step of the Burnout Reset Program is a face-to-face component run in Sydney.
(This is four, 90mins sessions run over four consecutive days.)
This is a an invaluable and required module of the program.

Burnout Reset Program Form

"*" indicates required fields

Name*

First Last

Email*

Phone

Role

Post Code

The first step of the Burnout Reset Program is a face-to-face component run in Sydney. (This is four, 90mins sessions run over four consecutive days.) This is a an invaluable and required module of the program.

Tell us a little about your experience with burnout.

How is it showing up for you? What symptoms are you experiencing?

How is burnout impacting your effectiveness as a leader or in your work?

How is burnout impacting your personal life, how you interact with your partner, kids and friends, your health, and how you experience joy, calm and happiness?

How important is it to you to solve your burnout challenge and reclaim your professional mojo and personal wellbeing? (On a scale of 1-10 with a score of 10 being extremely important.) And why?

What is one of your biggest challenges that dealing with burnout is throwing at you right now?

What would addressing your burnout give you? How would preventing the slide into burnout or coming back from burnout impact your life?

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