Cultural Insight Consulting Pre-assessment
Help us understand your organization's cultural context, challenges, and goals before your consulting session.
Organization Name
*
Contact Person Full Name
*
First Name
Last Name
Contact Email Address
*
example@example.com
Contact Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role/Position in Organization
*
Industry Sector
*
Please Select
Technology
Finance
Healthcare
Education
Manufacturing
Non-Profit
Other
Organization Size
*
Please Select
1-10 employees
11-50 employees
51-200 employees
201-500 employees
501-1000 employees
1000+ employees
What are the main cultural challenges your organization is currently facing?
*
What are your main goals or expectations from cultural consulting?
*
Please rate the following statements about your organization's current cultural environment.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Our organization values diversity and inclusion.
1
2
3
4
5
Communication is open and transparent.
6
7
8
9
10
Leadership supports cultural change.
11
12
13
14
15
Employees feel respected and heard.
16
17
18
19
20
There is a clear understanding of organizational values.
21
22
23
24
25
How ready do you feel your organization is for cultural change?
*
1
2
3
4
5
Any additional comments or information you would like to share?
Submit Pre-assessment
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