Sign-up Form 

Week 1: Create your vision of financial success
Week 2: Develop your financial plan
Week 3: Analyze your spending
Week 4: Build wealth and live your best life

When: Virtually on Wednesdays at noon
April 14, 21, 28 and May 5

Please fill out the following survey.  If you have questions, please contact Stephanee Phillips, Wellness@CharlotteCounyFL.gov

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* 1. Which of the following organization do you work for:

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* 2. Please fill out your contact information:

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* 3. Would you like to participate in the Workplace Money Coach 4 week program?

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* 4. On a scale of 0-10, how ready are you to complete Workplace Money Coach?
0-Not ready, 5- Ready, but not committed, 10-Focused and determined

0 5 10
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i We adjusted the number you entered based on the slider’s scale.

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* 5. Are you commited to completing the entire Workplace Money program content?

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* 6. (Opinional) In your own words, what is your "WHY" for financial freedom?

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* 7. Do you have any other comments, questions, or concerns?

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