Take 5 minutes to plan your
Escape
!
1. How often do you feel mentally or emotionally trapped in your current job?
*
Every day
Several times a week
Occasionally
Rarely
Almost never
2. What best describes the emotion you feel when you wake up for work?
*
Dread / heaviness
Anxiety
Numbness
Neutral
Motivated
3. How aligned does your current job feel with who you really are?
*
Not aligned
Slightly aligned
Somewhat aligned
Mostly aligned
Fully aligned
4. When you think about entrepreneurship, what’s the dominant emotion?
*
Fear
Exhaustion / overwhelm
Curiosity
Excitement
Certainty / calling
5. How clear are you on the business idea or path you’d want to pursue?
*
No idea
A few vague ideas
A general direction
A clear concept
A well defined idea I can believe in
6. How confident are you in your ability to learn the skills required to run a business?
*
I doubt myself
Usure
Could figure it out with help
Confident
Very confident
7. How much support do you have from your partner, family, or close friends?
*
No support
Very little
Some
Good support
Strong support system
8. How risk-tolerant are you when making career decisions?
*
Very risk-averse
Generally cautious
Open to calculated risks
Comfortable with risk
Thrive under uncertainty
9. How much financial runway do you have (savings or stability)?
*
None
Less than 1 month
1 - 3 months
3 - 6 months
6+ months
10. What drains you MOST in your current job?
*
Feeling undervalued
Lack of purpose
No control over time
Lack of growth
Nothing, I'm ok where I am
11. What energizes you MOST?
*
Creative work
Solving problems
Helping people
Building things / taking ownership
None of these, I'm unsure
12. How often do you fantasize about quitting your job and starting something of your own?
*
Daily
Weekly
A few times a month
Rarely
Not at all
13. Which statement best describes your current workplace?
*
Actively toxic
Misaligned and draining
Stable but unfulfilling
Good but not for my future
Supportive and growth-oriented
14. How often do you take initiative or leadership even without permission?
*
Never
Rarely
Sometimes
Often
Always
15. How quickly do you take action on new ideas?
*
I rarely act
Very slowly
Eventually
Quickly
Immediately
16. How comfortable are you with selling or promoting something you believe in?
*
Extremely uncomfortable
Uncomfortable
Neutral
Comfortable
Confident
17. How much do you crave more freedom, autonomy, or control?
*
Not at all
A little
Moderately
Strongly
Deeply / urgently
18. How often do you feel you’re meant for “more” than your current job?
*
Never
Rarely
Sometimes
Often
Constantly
19. What best describes your relationship with failure?
*
Terrified of failing publicly
Afraid of mistakes
Neutral if stakes are low
See failure as feedback
Fully embrace failure as part of growth
20. How ready do you feel for a meaningful life change within the next 12 months?
*
Not ready
Slightly ready
Somewhat ready
Ready
Absolutely ready
For your customized results, complete the following:
First Name
*
Last Name
*
Email
*
Phone
*
