Mastermind Start Up Survey

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* 1. Please fill out this contact information

First & Last Name

Company (If this is a company inquiry)

City/Town

State/Province

Email Address

Phone Number

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* 2. What is your gender?

Female

Male

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* 3. What days of the week work best for you?

Monday

Tuesday

Wednesday

Thursday

Friday

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* 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

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* 5. Which pace of Mastermind do you prefer?

Accelerated (Meet weekly)

Mid (Meet twice per month)

Extended (Meet once per month)

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* 6. Which 6 Session Mastermind topic(s) most interest you

Relationships

Equipping

Attitude

Leadership

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* 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)