YPO Forum Retreat Questionnaire YPO Forum Survey All responses will be held in confidence by OnCourse International. * Indicates REQUIRED field.Please complete the entire form to ensure prompt and accurate processing. Forum Reference (Forum Name & City):*Your Name:*Age:*Email:* Marital Status:*- Select -MarriedSingleSeparatedDivorcedWidowedYour Vocational Role:*- Select -EntrepreneurIn Family BusinessProfessional ManagerIn MinistryConsultingSpouseUnemployedOtherPhone - Work:Phone - Home:Phone - Mobile:Years in Forum:Spouse / Significant Other Name:Years Together:Names & Ages of Children:Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Please enter a number from 1 to 100.Describe your vocational situation:Describe the vocational issues you are now facing:Describe the personal issues you are now facing:What do you want from this retreat?Describe how you perceive yourself.Describe how you think others perceive you.Describe your relationship with your spouse or significant other.Describe your relationship with your children.Describe your relationship with your parents and siblings.Describe the quality of your relationships with the people you call "friends."Relationship authenticity is a common retreat theme. Please provide comments on one or more relationships that you know are draining your energy … and what you want to have happen relative to these relationships.Describe your spiritual life.Describe the life transitions you are presently confronting (be as specific as you feel comfortable).Describe any unresolved issues that you perceive exist within the forum.These might include: Attendance or punctuality; conflicts among members; confidentiality concerns; reluctance to share personal situations; a "pecking order" or cliques; dominating members; shallow or superficial meetings; any other issues or concerns.Our moderator needs help in:Please provide other comments or suggestions that will help the retreat facilitators.Confidentiality Notice:A copy of your submitted questionnaire will be sent to you at the email address you provide in the following field. You may leave this field blank if you do not wish to receive a copy of the completed questionnaire. Please verify you are human: This iframe contains the logic required to handle Ajax powered Gravity Forms.