ARE YOU READY?

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Name* This field is required.

First Name

Last Name

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Email* This field is required.

example@example.com

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1. Are you already retired or facing retirement soon?* This field is required.

Yes

No

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2. Are you clear about what’s next for you?* This field is required. On a scale of 1–5, with 1 being unsure and 5 being quite clear

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3. Have you been a leader in your career, industry, or field?* This field is required.

Yes

No

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4. Do you get a sense of satisfaction when creating extraordinary results with others?* This field is required.On a scale of 1–5, Indicate how rewarding it is for you.

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5. Have you volunteered for or been involved in community activities, causes, or initiatives?* This field is required.On a scale of 1–5, with 5 being an active volunteer and 1 being have never volunteered

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6. Have you ever been involved in social enterprise, a for-profit activity that has social benefits?* This field is required.On a scale of 1–5, with 5 being always, and 1 being never.

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5

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7. Are you interested in the many ways to contribute to community projects and causes on a local, provincial, national, or global scale?* This field is required.On a scale of 1-5, with 1 being not at all and 5 being very much

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8. Have you ever been a member of a board of directors or an advisory group (paid or unpaid)?* This field is required.On a scale of 1–5, with 5 being currently sitting in one or more groups and 1 being never

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9. Are you ready to invest in your next level of satisfaction and happiness?* This field is required.On a scale of 1–5, with 5 being ready now and 1 being not interested

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