* Required Entry

1.  Email address (We will not sell or share your email address with any third party). *
2.  What is your age? *
18-24
25-30
31-36
37-44
45 and above
3.  Gender? *
Female
Male
4.  What is your job title? *
CEO
Executive
Manager
Supervisor
Employee
5.  Are you fascinated? *
Absolutely!
Most times
It depends
Sometimes
No
6.  How long has it been since you had reason to be fascinated? *
7.  What were you doing the last time you were fascinated? *
8.  How would you describe your feelings at the time of fascination? *
9.  If you could, would you want to be fascinated on a regular basis? If so why? *
10.  Name *
11.  From the list below choose the person(s) who has/have brought an experience of fascination to your life *
Spouse
Father
Mother
Grandfather
Grandmother
Uncle
Aunt
Brother
Sister
Friend
Manager/Supervisor
Employee/Direct Report
Fellow employee
Stranger/unknown
12.  Who is fascinated among your friends, co-workers or family members? (just tell us the relationship, example: my brother) *
13.  Would you like to continue receiving information about Are You Fascinated? upcoming events, monthly newsletter, and rallies? *
Yes, put me on your mailing list
Send me only your newsletter
send me your newsletter and articles
No, do not put me on your mailing list
14.  Name a person and the fascinating opportunity they made possible that you would not have had otherwise
15.  How long do you intend to stay at your present employer?
Less than 6 months
No more than another year
Another 3 years
At least another 5 years
Indefinitely


* Required Entry


Copyright 2010 The Training Registry.  All Rights Reserved.