Assessment to Become More Productive in 2014 Question Title * 1. Please tell me about yourself. Name: * City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Country: Email Address: * Question Title * 2. Rank your biggest pain points. 1 2 3 4 5 No time to spend with family 1 2 3 4 5 Can't seem to get everything checked off my to-do list 1 2 3 4 5 Can't remember all the appointments and tasks I need to do 1 2 3 4 5 Trouble planning events, holidays and travel 1 2 3 4 5 Trouble focusing Question Title * 3. What do you need help with most to become more productive and efficient? Saving time & money Ways to juggle my home life and work life Apps to help make my life easier Other (please specify) Question Title * 4. Are you a list maker? Yes No Other (please specify) Question Title * 5. What do you make lists about? To-Dos Pros and Cons Dates, restaurants, books, etc. to remember Bucket Lists Gratitude list I don't make lists Other (please specify) Question Title * 6. How do you make lists? Handwritten in notebooks Handwritten on Post-its and pieces of paper Email Word Documents Apps I don't make lists Other (please specify) Question Title * 7. What are some of your favorite apps? Question Title * 8. What would being more productive and efficient do for your quality of life? Question Title * 9. What other topics would you attend a webinar about? Organizing your home Being more productive at work Taming email clutter Finding apps that help you do more Managing travel and event planning more efficiently Ways to keep track of your wealth Maintaining your health Other (please specify) Question Title * 10. What do you need to be able to be more productive, efficient, organized and less stressed this year? 1 2 3 4 5 Someone to show me what to do 1 2 3 4 5 More time in the day 1 2 3 4 5 More money 1 2 3 4 5 A way to organize all my tasks 1 2 3 4 5 Just get started Question Title * 11. What intimidates you most about becoming more productive, organized or making lists? Question Title * 12. Would you like a one-on-one phone session with Paula? Yes No Done