RISE Strategy Session — Pre-Session Intake Form

How this form is used

Your answers go directly to Dr. Betty. Nothing is shared. Nothing is used for marketing. The sole purpose of this form is to ensure the session is specific to your situation from the first minute.

Section 1 of 5

Who You Are

Basic information so Dr. Betty knows who she is speaking with.

Full name *

Please enter your full name.

Email address * The address your session confirmation and written summary will be sent to.

Please enter a valid email address.

Current job title and organisation Or "Founder / Building [description]" if you are in entrepreneurship.

Country / City you are based in

How long have you been in your current role or situation?

Preferred session date * Select your preferred date. Date and time confirmation will be sent to you by email after your form is submitted.

Please select a preferred session date.

📅 Dr. Betty will confirm the exact date and time by email within 24 hours of receiving your form.

Section 2 of 5

Your Transition Type

Select the transition type that most closely describes your situation. This determines how Dr. Betty prepares for your session.

Which best describes your transition? *

Industry Shift

Moving to a different sector or field. Your track record is strong but reads as irrelevant to the people you need to convince.

Corporate to Entrepreneurship

Leaving institutional infrastructure to build something of your own. You know the destination — the plan is the gap.

The Global Professional

Career built across multiple countries or cultures. Your experience is genuinely rare but does not translate cleanly across contexts.

Re-entry

Returning after a career break — for family, health, education, or another reason. The break is not the problem. The narrative is.

Strategic Repositioning

Moving within your industry — to a different level, function, organisation, or geography. Intentional. The infrastructure is the gap.

Please select your transition type.

Section 3 of 5

Your Current Situation

Be specific. Vague answers produce generic preparation. The more specific you are, the more useful the session will be.

Describe your current situation in 3–5 sentences. * Where you are, how long you have been there, and what specifically is not working.

0 / 500

Please describe your current situation.

What is your transition target? * Be as specific as you can — role, sector, level, organisation type, geography. "Something better" is not a target.

0 / 400

Please describe your transition target.

What is the primary thing blocking you right now? * Not the surface reason. The real one. Write the honest version.

0 / 400

Please describe your primary block.

How long have you been trying to make this move?

What is your target timeline for completing this transition?

Section 4 of 5

Tool Results

If you have completed any of the nine free diagnostic tools, share what they returned. Dr. Betty uses this to go deeper in the session — not to review the tools, but to build on what they have already named.

Which tools have you completed? Select all that apply.

Select tools completed

Readiness Assessment

CultureCode™ Quiz

Career Impact Calculator

Manager Diagnostic

Transition Scorecard

Visibility Builder

Narrative Script Builder

90-Day Plan

Org Archetype

If you have not taken any tools yet, leave this blank — we will work from your situation directly.

Summarise your key tool results here Copy your result tiers, profile names, scores, or blind spots from any tools you completed. Even a few words per tool is helpful — e.g. "Scorecard: Strategic Exit — Strong Signal. Calculator: ₦18M. Manager: High Risk — The Threatened."

0 / 600

Section 5 of 5

Your Session

Two final questions. The answers shape how Dr. Betty opens and closes the session.

What is the one outcome that would make this session worth it? * Not the polished answer. The real one. The thing you are actually hoping for but have not said out loud yet.

0 / 400

Please describe your desired outcome.

Is there anything else Dr. Betty should know before the session? Cultural context, family situation, financial constraints, health considerations, anything that shapes your transition that has not been covered above.

0 / 500

Preferred session format

Video call — camera on (recommended)

Video call — camera optional

Audio only

Dr. Betty will review your form within 24 hours of receipt and confirm your session date and time. The written summary of your session will arrive within 24 hours of the call.

Pre-Session Intake Form

Intake form received.