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* 1. What is your first name?

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* 2. What is your surname?

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* 3. What is your current role?

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* 4. What organisation do you work for?

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* 5. What do you want to achieve by participating in this session?

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* 6. Tell us about you?  What are your leadership goals?

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* 7. Any other comments or things you want us to know?

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