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* 1. Full Name (please enter your firstname AND lastname)

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* 2. Your group Chairman

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* 3. Name of your business

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* 4. One sentence to describe your business

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* 5. Three speakers you can't get enough of

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* 6. Five words to describe your experience so far with the Academy

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* 7. What's your best takeaway/clarity moment from a group meeting or coaching session?

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* 8. Where do you want to be in five years' time?

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* 9. If you didn't spend a day a month with the Academy what would you be doing instead?

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* 10. Your best management book and why

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* 11. ...And finally- your plug- why should we use your business?

Thank you for taking the time to complete this!

If you have any questions please contact chairman@chiefexecutive.com
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