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Confidential Survey for WashingtonExec Program

Thank you for completing this brief, confidential survey. Your responses will help author Pete Leibman customize the upcoming program and make it as valuable for you as possible. Your responses are 100% confidential. They will only be reviewed by Pete and will not be shared with anyone else.

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Question 1 of 8

Your Name

Question 2 of 8

Your Job Title and Employer

Question 3 of 8

Your Age

A

Under 30 years old

B

31-40 years old

C

41-50 years old

D

51-60 years old

E

Over 60 years old

F

Prefer not to say

Question 4 of 8

Why are you interested in attending this program?

Question 5 of 8

On average, how many hours do you work each week? Include all time spent on work, including emails. 

A

Less than 30 hours each week

B

30-39 hours each week

C

40-49 hours each week

D

50-59 hours each week

E

60-69 hours each week

F

70-79 hours each week

G

80+ hours each week

Question 6 of 8

What are the most challenging aspects of your current role?

Question 7 of 8

What is your #1 question about how to sustain high performance?

Question 8 of 8

Is there anything else you would like to share that might help Pete customize this program and make it even more valuable for you?

Confirm and Submit