| First Name: |
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| Last Name: |
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| Email: |
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| Address:
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| Country: |
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| Fax:
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| How did you hear about our website? |
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Search engine |
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TV Show |
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Friend/Colleague? |
| Other website: |
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| Organization: |
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| Other: |
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| Please tell me a little more about job your situation. |
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Full-time outside the home |
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Part-time |
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Homemaker |
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Self-employed |
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Volunteer |
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Student |
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Retired |
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Seeking employment |
| Other: |
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| Which one applies to your position? |
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Entry-level |
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Middle management |
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Senior-level management |
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Experienced non-manager |
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Owner/CEO |
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Freelance |
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Administrative Assistant |
Other:
(please describe) |
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| What is your industry? |
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Arts |
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Career/Life Coaching |
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Communications |
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Computers |
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Consulting |
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Design |
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Education |
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Engineering |
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Finance |
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Government |
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Health/Fitness |
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Healthcare |
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Hospitality |
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Human Resources |
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Information Technology |
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Insurance |
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Law |
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Manufacturing |
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Marketing |
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Non-profit Organization |
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Real Estate |
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Sales |
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Telecommunications |
Other:
(please describe) |
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| What is your education level? |
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High school |
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Some college |
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Undergraduate degree |
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Graduate degree |
| Other: |
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| What is your annual income? |
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Under $25,000 |
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$25,001-$50,000 |
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$50,001-$75,000 |
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$75,001-$100,000 |
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Over $100,000 |
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| What is your age? |
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Under 21 |
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21-30 |
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31-40 |
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41-50 |
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51-60 |
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61+ |
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| What is your ethnicity? |
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African-American |
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Asian/Pacific Islander |
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Asian—Indian subcontinent |
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Caucasian |
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Hispanic |
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Native American |
| Other: |
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| What is your marital status? |
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Single |
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Married |
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Divorced |
| Other: |
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| Do you have children? |
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Yes, age 0-15 |
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Yes, age 16-24 |
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Yes, over age 24 |
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No |
| Other: |
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| Which are your favorite spots on this website? |
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Power Contacts |
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Success Strategies |
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Feature Article |
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Women's Bookshelf |
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Hone Your Skills |
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Our TV Shows |
| Other: |
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| What is the greatest challenge you face as a working woman? |
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| What else would you like to see on our site? |
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| What topics would you like to see on future television shows? |
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The dilemma of competing and cooperating in the workplace |
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Women entrepreneurs |
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The conflicts of different generations working side-by-side |
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Eldercare |
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The challenges of dual-career families and single working parents |
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What does it mean to be a strong woman? Is strength feared by men/other women? |
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Women who work while their partners stay home |
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Different communication styles between genders |
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Building business relationships - networking |
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Smart risk taking |
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Creativity at work and in life |
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Women and sexuality |
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Women and migraines |
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Female friendships |
| Other: |
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July 25, 2008
