What is your current level of engagement?
Highly engaged Moderately engaged Not very engaged Not engaged at all
How likely are you to recommend these services to others?
Highly likely Somewhat likely Neutral Unlikely
Are you interested in personalized coaching or mentorship?
Yes, for self-development Yes, for career advancement No, not interested
What time commitment can you dedicate to these programs?
Several hours per week 1-2 hours per week Less than 1 hour per week Not sure
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Name
Email
Phone
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