Question Title * 1. Check-In (OPTIONAL) First & Last Name (Optional) Email Address (Optional) Question Title * 2. Due to today's program, I am going to be more intentional in how I respond to others. Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree Question Title * 3. I am now more equipped to help build a stronger culture of respect. Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree Question Title * 4. The skills I learned today will be implemented in both my professional and personal life going forward. Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree Question Title * 5. What are you going to use from today's program? Question Title * 6. How would you describe this session to someone who wasn't here? Question Title * 7. What would you like to say to Mike or ask Mike? Questions are often about situations individuals have faced and/or struggled with in the workplace (sometimes in one's personal life too). With the volume of questions Mike receives and to best help the most people possible, Mike often answers your questions in his videos on Instagram (www.Instagram.com/MikeRespects) and on YouTube (www.YouTube.com/CenterForRespect.com). Question Title * 8. Who else do you think would benefit from hearing Mike speak (businesses, associations, schools, military)? Would you please share the specific individuals/organizations you recommend we reach out to (if that is you, put your information below)? Full Name of Person at the Organization Organization City/Town of the Organization State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address Phone Number Be sure to click the "SUBMIT" button below: Done - SUBMIT
