PivotX Activation Scan

Contact Information

Address

Street Address *

City *

State *

Country *

Postal code *

Section 1: Emotional Impact & Trauma

1. I've experienced toxic workplaces that affected my confidence, identity, or leadership ability. *

2. I often struggle with self-doubt, anxiety, or emotional exhaustion tied to my professional journey. *

Section 2: Emotional Regulation & Healing

3. I'm actively working on healing-centered leadership practices and emotional regulation practices. *

4. I have language and tools to describe and manage my emotional experiences, especially under stress. *

Section 3: Identity, Voice, & Clarity

5. I'm clear about my leadership identity and the value I bring to teams, organizations or movements. *

Section 4: Purpose-Driven Action & Leadership Indicators

6. I feel confident speaking up and influencing decisions, even in challenging or evolving environments. *

7. I have clear strategic goals and regularly take action to move toward them. *

8. I am leading change - not just completing tasks - in my work, community, or networks. *

Section 5. Systemic Impact & Ecosystem Leadership

9. I intentionally design or influence systems, cultures, or ecosystems to support sustainable change. *

10. I am building partnerships, coalitions, or collective efforts that expand impact beyond myself. *

Section 6. Patterns Over Time

11. Which of these patterns have you experienced in your career journey? (Select all that apply.) *

Playing small even when I knew I had more to offer

Staying in environments that harmed my confidence

Struggling to trust myself after experiencing toxic leadership

Leading in survival mode rather than strategic leadership

Building resilience and reclaiming my leadership voice

Section 7. Current Mindset

12. How would you describe your mindset right now? (Select one.) *

Section 8. Leadership Self-Perception

13. In a few words, how do you currently see yourself as a leader? *

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