Name

First Name

Last Name

Are you willing to sacrifice some of your relationships or some time resting when you feel tired?

Yes

Sometimes

No

Are you willing to push through, even when you don't feel like it?

Yes

Sometimes

No

Are you willing to work on weekends?

Yes

Sometimes

No

Are you willing to work in bed?

Yes

Sometimes

No

Are you willing to work on vacation?

Yes

Sometimes

No

Are you willing to talk mostly about your work with others?

Yes

Sometimes

No

Are you willing to pull an all-nighter?

Yes

Sometimes

No

Are you willing to get to a place where you resent your work?

Yes

Sometimes

No

Are you willing to get to a place where you resent the pressure people are putting on you to do work?

Yes

Sometimes

No

Are you willing to forgo intimacy to get work done?

Yes

Sometimes

No

Are you willing to use stimulants to stay awake longer to get work done?

Yes

Sometimes

No

Are you willing to take on extra work or volunteer commitments to make sure it gets done?

Yes

Sometimes

No

Are you willing to rush to complete work when you underestimate the time it takes to complete something?

Yes

Sometimes

No

Are you willing to totally immerse yourself in a hobby or activity, i.e. work hard/play hard?

Yes

Sometimes

No

Are you willing to make work your top priority and find others to be on your team who will do the same?

Yes

Sometimes

No

Are you willing to work hard most of the time so there is no chance of failure?

Yes

Sometimes

No

Are you willing to have fears of success, failure, criticism, burnout, financial insecurity, and not enough time, and continue to work anyway?

Yes

Sometimes

No

Are you willing to learn to multitask even more than you already do?

Yes

Sometimes

No

Are you willing to manage the people who want to interrupt you and stop you from doing what you are doing to something else?

Yes

Sometimes

No

Are you willing to get sick?

Yes

Sometimes

No

Are you willing to upset your partner with your work habits?

Yes

Sometimes

No

Are you willing to think about work when you are driving, talking, falling asleep, and dreaming?

Yes

Sometimes

No

Are you willing to never be idle and always be in action, even if it means being out of balance?

Yes

Sometimes

No

Are you willing to be "on call" to your email, texts, phone calls, and other technology seven days a week?

Yes

Sometimes

No