Mastermind Start Up Survey Question Title * 1. Please fill out this contact information First & Last Name Company (If this is a company inquiry) City/Town 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 Email Address Phone Number OK Question Title * 2. What is your gender? Female Male OK Question Title * 3. What days of the week work best for you? Monday Tuesday Wednesday Thursday Friday OK Question Title * 4. What times of the day work best for you? 8 am - 10 am 10 am - 12 N 12 N - 2 pm 2 pm - 4 pm 4 pm - 6 pm 6 pm - 8 pm OK Question Title * 5. Which pace of Mastermind do you prefer? Accelerated (Meet weekly) Mid (Meet twice per month) Extended (Meet once per month) OK Question Title * 6. Which 6 Session Mastermind topic(s) most interest you Relationships Equipping Attitude Leadership OK Question Title * 7. Which 12 Session Mastermind topic(s) most interest you 15 Laws of Growth Developing the Leader Within You 2.0 Developing the Leaders Around You Becoming A Person Of Influence Many Communicate, Few Connect Put Your Dream to The Test Leadershift Today Matters Other (please specify) OK DONE