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2015
June
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Exit Survey
Are you happy? Research has shown that
your happiness
can affect your
health, business, leadership, relationship and overall success.
You are invited to take a 5 minutes
Happiness Survey
so that we can better serve you in cultivating a happier life, relationship, and leadership. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact Sam Stone at 551-333-1133 or by email at
[email protected]
. Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
Which of the following describe you best?
Entrepreneur
Corporate Executive
Parent
Other
What is your #1 single biggest challenge in maintaining your happiness? (Please feel free to elaborate so that we can better serve you.)
What solutions have you tried to overcome you happiness challenge? What has worked? What hasn't worked? (Again, please feel free to elaborate so that we can better serve you.)
How does your faith or spirituality play a role in keeping your happy?
Not at all
Very little
Some
Significant
(Optional)
Lastly, I may follow-up with a few people personally to learn a little more
about your situation. If you'd be open to chatting for a few minutes, on the
condition I PROMISE not to try to sell you something - please leave your number
below.
First Name
:
Last Name
:
Phone
:
Email Address
:
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