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* 1. How important are presentation and public speaking skills to your growth?

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* 2. How comfortable are you presenting before your peers?

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* 3. Rank these skills in importance:

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* 4. Other important skills that may not be mentioned above:

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* 5. How important to you is a formal development program with recognition for achievements?

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* 6. How often would you be able to take time to work on your skills?
(select one)

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* 7. How likely would you be willing to help others work on their skills?

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* 8. If you have previously attended Toastmasters, what has kept you away?
What change would bring you back?

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* 9. Contact information (optional):

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