CORE October 2018 Meeting Survey | CXFormula | Customer Experience Formula

Enter Your First Name*
Enter Your Last Name*
Enter Your Email Address*
Enter Your Mobile Telephone Number*
Are you planning to join us for dinner on Sunday, October 21st?*
- Yes
- No
We are going to an offsite location for dinner. Please plan to be at the hotel lobby to leave by 6:30pm. If you have any issues with this, please let us know.

As we will be providing meals and snacks, we want to ensure you are taken care of. Do you have any specific food / dietary restrictions or allergies that we should be aware of?*
- Yes, I do have some special dietary requirements / allergies
- Nope! I'm good with anything!
Dietary Restrictions / Special Requests*
Please let us know what your specific dietary restrictions, allergies or requests are, and we'll do our best to accommodate you.

Are you interested in having a Full-Group Hot Seat?*
At this meeting, we will have time for some FULL-GROUP Hot Seats. This means that you'll have the opportunity to present a challenge or opportunity in your business and get the collective thinking of all of our members focused on YOUR Business. We have limited slots available for these, so if you're interested, let us know and we'll try to get you a slot!
- Yes, I'd like to be considered for a "Full-Group" hot seat
- No thanks, not at this time.
What is the topic you are considering for your Full-Group Hot Seat?*

Any other special notes or things you'd like to share?
Please let us know if there is anything else we should know prior to the workshop to better accommodate you!

October 2018 LIVE MEETING SURVEY
Sunday, October 21 – Tuesday, October 23, 2018