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BREAKTHROUGH - WORKLOAD PROGRAM - REGISTRATION FORM
1.
Your full name
2.
Your preferred daytime contact number
3.
Your preferred email address
4.
Your preferred physical address (for delivery of your program kit and other resources provided throughout your program) (Not PO Box)
5.
Who is paying for your program?
I am. Please invoice me directly the full amount of $1200 + GST
I am. Please invoice me monthly in advance $400 + GST per month
Work is paying - please see email address for the invoice below:
Work Invoicing: Please provide the email address:
*
6.
Please take a moment to reflect on and complete the questions below. This provides Tanya with helpful information so she can best support you during the program:
(Required.)
Never
Occasionally
Regularly
I have a high volume of work
Never
Occasionally
Regularly
I have short time frames to complete my work tasks
Never
Occasionally
Regularly
I have competing demands
Never
Occasionally
Regularly
I experience changing priorities
Never
Occasionally
Regularly
My work is high in Intensity (complex, requires deep thinking)
Never
Occasionally
Regularly
My work is stimulating or exciting
Never
Occasionally
Regularly
I get to work on things that I enjoy
Never
Occasionally
Regularly
I receive push back if I raise concerns about my work volume
Never
Occasionally
Regularly
I rely on others doing their job, to get my work completed
Never
Occasionally
Regularly
Others rely on me doing my job, to get their work completed
Never
Occasionally
Regularly
My work is emotionally demanding (trauma, complex social or wellbeing issues)
Never
Occasionally
Regularly
I feel energised by the work I do
Never
Occasionally
Regularly
I look forward to coming to work
Never
Occasionally
Regularly
7.
To what degree does your current workload level impact your wellbeing? (Work stress, home/life balance, worry)
Not at all
It impacts a little
It has a big impact
Clear
8.
What are you hoping to get out of the BREAKTHROUGH program?
9.
Which of these strategies have you previously tried in managing your workload (tick all that apply).
Negotiating priorities with my leader
Delegating
Using time management models (Eisenhower/Covey matrix for e.g.)
Email management strategies - i.e. 4D system or other
Flexible work aligned to your best working time (early bird, night owl)
Protected time (shutting my door, blocking out time in my diary, putting FOCUS time blocks in my diary)
Working on my assertiveness skills to be able to say "no"
Strengthening my boundaries so I don't work too many overtime hours
Turning off notifications on phone and emails so they don't distract me
Removing emails from my home phone so I don't check them when I'm home
Coming in earlier to work when it is quieter
Prioritising - via To Do list, or digital tool such as Trello or One Note
Actively looking at what I can reduce or remove from my tasks
Other
10.
What is your biggest concern in regard to your workload management?
