YPO Dubai Forum Retreat Questionnaire

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Please complete the entire form to ensure prompt and accurate processing.

Your Name:*
Age:*
Email:*
Marital Status:*
Your Vocational Role:*
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:
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.
What do you want for yourself from our meeting on 13 December? How will you know it has been a good investment of your time?
Please provide other comments or suggestions that will help Jim prepare for the meeting.
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.
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