Student Questionnaire

I'm looking forward to connecting with you and learning more about you and your business. In the meantime, please fill out this short "get to know you" questionnaire. Thanks!! Susie

Name*
First Last
Which Course Are You Enrolled In?*
Cell Phone
(Please note: I might text you at this number once in awhile)
Please share anything you'd like to share - marital status, kids, grandkids, hobbies.
Got any Pets?
(I'm a huge pet lover, and love hearing about other people's pets!)
When is Your Birthday (Just Month and Day)?*
What company are you with?*
How long have you been in the business?*
How many consultants are on your team or in your organization?*
What are your biggest challenges right now with your business?*
Any Questions for Susie?
Do I have your permission to share that you are part of this program on social media and in my publications?*
- Yes
- No
How did you hear about this program?*
If someone referred you to the program, I'd like to be able to thank them. (Students earn rewards when they refer other students!)