YPO West Palm Beach Chapter Retreat Survey YPO West Palm Beach Chapter Retreat Survey The following confidential survey provides our resources, Jim Warner and Kelly Kelly, with important information to help them craft a transformative, memorable chapter event on October 20-22 on Key Biscayne. Please invest 10-15 minutes to complete the 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. Name:*Age:*Email:* Marital Status:*- Select -MarriedSingleSeparatedDivorcedWidowedYears in Chapter:*Your Vocational or Life Role:*- Select -EntrepreneurIn Family BusinessProfessional ManagerIn a PartnershipInvestorConsultingFull-Time, Stay-at-Home ParentWork Part-time, Home Part-timeOtherSpouse / 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.Taking Stock: Describe your top 3 vocational or life role issues and opportunities:Describe your top 3 personal, marital, or family issues and opportunities:Contemplating What's Next: What are you passionate about?What is missing in your life that is very important to you?What is blocking you from taking action?Authentic Relationships:Describe a challenging relationship in your life (personal, family, work). What blocks you from addressing the issue(s) in this relationship?Take-Home Value:You are investing two days to be with fellow chapter members. At the end of the second day, how will you know this has been a highly fruitful time for you?Confidentiality Notice:As a reminder, your responses to this survey will be viewed only by Jim Warner and Kelly Kelly. 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.