Real Success Stories

    Questionnaire

    SECTION A: BASIC INFORMATION







    SECTION B: WHO IS THIS ASSESSMENT FOR?
    This assessment is for:

    SECTION C: CURRENT LIFE STAGE
    Which category best describes you / the person concerned?

    SECTION D: CHALLENGES & CONCERNS
    What challenges are you currently facing? (Select all that apply)

    How long have you been facing these challenges?

    SECTION E: LEARNING & BEHAVIOR OBSERVATION
    Which best describes the learning style?

    Do you feel your true strengths are currently being used?

    SECTION F: GOALS & EXPECTATIONS
    What do you want clarity on most right now?

    SECTION G: AWARENESS OF DMIT
    Have you heard about DMIT before?

    What made you interested in DMIT or Palmayan?

    SECTION H: CONSENT & NEXT STEP
    Are you open to a personal counselling session after assessment?

    Preferred mode of session: