Please take a few minutes to fill out this survey and provide some insights into your current position, experience with being a female manager, and your goals for our time together.  

Any time you can provide an example or context for your experience, please share it!  Don't feel like your answers have to be perfectly crafted or grammatically correct. This isn't graded.

I look so forward to connecting!

- Lelia

Shared Agreements

To ensure everyone gets the most out of these workshops, it’s important that we come into the space with a shared understanding of how the day will go, what you can expect from me, what you can expect from your peers, and what they can expect from you.

  • I will come to the workshop free from distractions.  I will keep my phone out of reach unless we are on a break. During sessions, I will step out if I need to use my phone.
  • I commit to confidentiality of personal stories and experiences shared by my peers.
  • I agree to respectful, open, and honest communication.
  • I recognize that at times this work can be challenging. I will strive to be gentle with myself and others.
  • I understand that there will be many opportunities to participate and share my experiences. I will be sensitive to sharing the space—open to sharing, opting not to participate, and allowing others the opportunity to share.
  • I grant permission to Gowland, LLC to photograph my image, likeness, or depiction and consent to and permit any photographs of me to be used for any purpose including print and electronic. 
  • I grant permission for Gowland LLC to tag me in photographs on social media and reserve the right to un-tag myself as I see appropriate. 
  • I hereby release, waive, acquit and forever discharge, Gowland, LLC from every claim, suit action, demand or right to compensation for damages I may claim to have or that I may have arising out of actions, omissions, or commissions taken by myself or by Gowland, LLC as a result of the advice given by Gowland, LLC or otherwise resulting from the coaching relationship contemplated hereunder. I further declare and represent that no promise, inducement or agreement not herein expressed has been made to me to enter into this release. The release made pursuant to this paragraph shall bind my heirs, executors, personal representatives, successors, assigns, and agents.
Name *
If you have attended a previous workshop, please feel free to leave the following two sections blank if nothing has changed.
Including apartment number
Biographical Information
I work with women at various stages of their careers, so I ask the questions below to provide context about where you are professionally. If you prefer not to share, please leave any part of this section blank.
Experience with being a female manager