SuperMums Workshop Series: SpeakFluence Sparkle Succeed  
Dear SuperMum:

A warm welcome to the SpeakFluence Family.

We look forward to meeting you at workshop where we will help you develop your Communication Intelligence,  SpeakFluence, Sparkle and Succeed through your returnship journey.

The SpeakFluence program is a holistic program that ensures you receive training that empowers you to achieve your personal and career goals and aspirations.  In order to ensure a stellar bespoke experience that maximizes your development and transforms your ability to impact your audience, we request that you take a few minutes time to answer the questions below.  Please feel free to be candid and detailed with your descriptions. Be assured that all information provided is held in full confidence and never provided to third parties or anyone external. Your open and introspective answers will assist us to  be efficient and customize a program that ensures that you see results that take you and your career, communication and leadership to a higher level.

If you have any questions, please feel free to connect with us at  054.3SPEAK2 (054.377.3252) or via email at admissions@speakfluenceglobal.com.

Wishing you a SpeakFluencing day ahead.

Speak. Influence. Impact. Lead. Today. TM

The Admissions Team
SpeakFluence Global FZ LLC
Dubai Knowledge Park
054.3SPEAK2
054.377.3252
www.speakpod.org 
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Email *
First Name *
Last Name *
Are you currently working? *
Age/Date of Birth *
MM
/
DD
/
YYYY
Mobile number *
Number of Years Out of Work *
Number of years searching for returnship/work *
How many children *
What is your greatest strength *
What is your greatest weakness *
Have you  had any previous communication, speech or leadership training? *
Required
If yes, how long ago and where?
Was it effective? What was the focus of the training? What were your learning outcomes?
Please describe your communication/personality style – tick all that are relevant:
Please describe your confidence level with respect to communication in respect of each of the following contexts:
Interviews *
Low
High
Networking *
Low
High
Superiors *
Low
High
Colleagues *
Low
High
Strangers *
Low
High
Small group settings *
Low
High
Large group settings *
Low
High
Please rate your current overall communication skills: *
Not effective
Very effective
Please rate your current overall confidence level: *
Low
High
Please rate your desire to improve impact speaking skills: *
Unsure
Eager
Please rate your level of focus on self improvement (0=low to 10=high): *
Low
High
Please rate your current level of self esteem: *
Low
High
I downplay my talents   *
Never
Always
I am aware of my physical reactions while speaking *
No
Yes
I can control my mood/impulses while being spoken to *
No
Yes
I can control my mood/impulses while in conflict situations   *
No
Yes
I am aware of my facial reactions in various situations *
No
Yes
I can build immediate rapport with strangers *
No
Yes
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