Career Diagnosis

All inquiries STRICTLY CONFIDENTIAL.

Free Career Diagnosis for Scientists

Please fill out the following form (in strictest confidence) and click the "NEXT" button at the end of the form for more information.

Name:
Address:
City:	State: Zip:
Phone:(optional)
E-mail:
Confirm E-mail:

1. Are you planning to change your career? yes no

2. What's your current occupation? Why are you dissatisfied?

3. Your "dream" job(s)?

4. How did you hear about our web site? (please select!)

5. If from search engines, what engine and keyword(s) did you use?

6. If from a friend, publication, or other source, please identify.

7. Please tell us something about yourself, including your current career, what you've done to change your career, the outcome of any recent job interviews, geographical or financial constraints and anything else you think we should know.

8. If you decide that you may be interested in our career counseling services -- after discussion with one of our career counselors, upon further reflection, or both -- what delivery method would you prefer:

face-to-face counseling (in our New York City offices)?
distance counseling (using telephone, video-phone, internet, e-mail)?
combination of face-to-face and distance counseling?

9. You may compare yourself to "career change champions" -- people who have changed careers often, easily, happily, and successfully -- by using the following short Scale or long Inventory; each makes explicit those career attitudes and career behaviors we have found to be hallmarks of high-functioning, successful, and satisfied career-changers. Please select and fill in either the "Career Change Ability Scale" (takes about 2 minutes to complete) or the recommended "Career Well-Being Inventory" (about 7 minutes to complete.) You will be contacted by e-mail to set up a brief confidential phone conversation to discuss whether our services are appropriate to your career circumstances.

Abbreviated 2-minute Scale
Recommended 7-minute Inventory