Get to know you Sample Survey

In preparation for our upcoming leadership meeting on Wednesday October 13th, please complete the following survey. Your answers will be shared in a highly visual, engaging way that will connect you to others across the area, in ways that will help us work together and win together!

This survey will take only a few minutes, and it is important that you complete the survey no later than 12:00 pm (noon, CST) on Friday, October 8th.
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1. Name:
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2. Email:
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3. Title:
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4. Phone:
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5. Where are you located?

(Please select nearest town)
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6. Select your functional area:
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7. How many years have you been working in the industry?
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8. What leadership trait do you admire most?
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9. If the Company were to be known for one thing, what would you want it to be?
10. What question, if answered, would help you most in your role over the next 3 months?
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11. What’s your all time favorite movie?
12. How do you relax?
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13. If I REALLY want to get you talking, what should I ask you about?