Facilitator & Participant Survey

Thank you for providing valuable feedback that will help us measure our growth.  Please complete this in order to receive your certificate.

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* 1. First Name

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* 2. Last Name

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* 3. Email Address

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* 4. Phone Number

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* 6. Organization or Company you participated with (N/A if not applicable)

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* 7. Are you a Roundtable Facilitator?

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* 8. If no, who is your Roundtable Facilitator?

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* 9. If a participant, do you plan to sign up to be a facilitator?

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* 10. If a facilitator, do you plan to lead another round table?

“Read the statements below. Using a scale of 1-10, please honestly rate yourself before you went through the Roundtable sessions compared to after. (I.e. before participating in the Roundtable on “Attitude” I would have to honestly rate myself a 4 on my attitude and after going through the Roundtable I am more aware to practice a positive attitude so I would now rate myself a 6.)” 
*Please only fill out for each session that you completed.

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* 11. I desire to grow as a leader.

  Very Strongly Disagree
1
3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables 
After Roundtables 

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* 12. I am an influential person in my current surroundings.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 13. I consistently display a positive attitude. 

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 14. I follow a plan for personal growth.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 15. I consistently do what I say I will do.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 16. I intentionally set priorities and follow through to completion.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 17. I consistently exceed what is expected of me.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 18. I have meaningful and encouraging relationships in my life.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 19. Encouraging other people and serving to meet their needs is very important to me.

  Very Strongly Disagree
1
2 3 4 5 6 7 8 9 Very Strongly Agree
10
Before Roundtables
After Roundtables

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* 20. What is one area in which you grew the most through the Beyond Sucess Roundtables?

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* 21. Any other comments or suggestions:

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* 22. Did you watch the bonus video session?

Thank you for filling out the survey. Comments maybe used on Beyond Success website and/or social media.
Disclaimer: Personal information will not be given out.

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