Value Audit™ Intake Form | Black Women's Wealth Lab®

Your Identity

Full Name *

Preferred Name (if different)

Current or Most Recent Job Title *

Current or Most Recent Employer *

Industry / Sector *

If Other, specify your sector

Your Primary Market (City / Region / National) *

Used for market-rate benchmarking. Compensation benchmarks vary significantly by geography.

Years of Professional Experience *

LinkedIn Profile URL

Your Compensation

Current Total Annual Compensation *

Compensation Components (select all that apply) Base Salary Annual Bonus Commission / Variable Pay Equity / Stock Other

Base Salary Amount ($)

Annual Bonus Amount ($)

If you charge by the hour, your current rate ($)

How did you arrive at your current rate or salary expectation? *

Highest Annual Income Ever Earned *

Most You Have Ever Been Paid for a Single Engagement or Project

Target Annual Income Within 12 Months *

Approximate Annual Revenue of Your Employer (or client base)

Used in win valuation calculations. A 35% revenue increase means different things at different company sizes.

Your Scope of Influence

How Many People Do You Directly Manage or Lead?

Budget Authority — How Much Do You Control or Influence? ($)

Include direct budget authority and budgets you significantly influence. This affects the attribution calculation in your wins.

What Do People Consistently Come to You For? *

Your Documented Wins

These are the outcomes you personally delivered. Be specific. If you do not know the exact dollar amount, describe the outcome and we will calculate it. Document at least three wins. Five produces the most complete audit.

Win #1

What was the situation? *

What specifically did YOU do? *

What was the measurable outcome? *

Who benefited from this outcome?

Were you formally credited or recognized for this outcome?

Approximate dollar value of this outcome (if you know it)

Win #2

What was the situation?

What specifically did YOU do?

What was the measurable outcome?

Who benefited?

Were you formally credited?

Approximate dollar value

Win #3

What was the situation?

What specifically did YOU do?

What was the measurable outcome?

Who benefited?

Were you formally credited?

Approximate dollar value

Win #4 — Optional but recommended

Situation

Your specific action

Measurable outcome

Who benefited

Attribution status

Approximate dollar value

Win #5 — Optional but recommended

Situation

Your specific action

Measurable outcome

Who benefited

Attribution status

Approximate dollar value

Your Intellectual Property & Revenue Architecture

Have you seen your ideas, frameworks, or work product reused by others without attribution or compensation?

If yes, describe what was reused and by whom

Do you have any existing trademarks, copyrights, or named frameworks?

How do you currently earn income from your expertise?

If you have a consulting practice, describe your core offer in 2 to 3 sentences

What is the single biggest challenge you are facing with your revenue right now? *

Your Negotiation History & Intent

Describe the last time you negotiated your compensation, rate, or a contract

What was the outcome of that negotiation?

What is the primary reason you are doing this Value Audit™? *

When do you plan to use the results of this audit?

Is there anything else you want us to know before your audit is built?

Your audit will be delivered to the email used at purchase within 48 hours of intake submission. If you have questions, contact hello@blackwomenswealthlab.com

Build your audit.Start with what you know.

Build your audit.
Start with what you know.