Online Questionaire

Your name

Your email

What is your date of birth? YYYY-MM-DD
What position are you thinking about leaving?
How many months before you want to move?

How clear an idea do you already have of your priorities after you move?

Are you concerned about making the transition? YesNo If yes, in what way?
How useful would you find an advice and coaching service in helping you make the transition? 
Where would you look to find basic information about an advice and coaching service?
Online searchSocial mediaColleaguesElsewhere please specify
If you were interested in the service, how would you like to find out more?
Talk to a coachWebsite FAQsChatboxOther please specify
How long would you prefer each coaching session to last?
One hourOne and half hoursAnother duration
Which topics would you like to see covered?
Finding new pastimes, activitiesAligning to a new way of lifeDealing with domestic lifeRelationship counsellingOtherOther, please specify
Would you pay £250 to £450 per session for a coaching service such as this?
YesNo
Would you pay £450 to £650 per session for a coaching service such as this?
YesNo
Which term do you prefer for the person that would help you through the process, choose one out of each choice:
AdvisorCoachMentorLife Orientator
Would you like access to any of the following online resources?
Charity work in the medical fieldOther charity opportunitiesPhilanthropy opportunitiesRetrainingOther, please specify
Where do you spend most of your research/ free time in general:
FacebookTwitterInstagramTalking with other peopleMagazines ,please specify which ones?

Any additional thoughts or comments? (optional)

Would you like to sign up for a complimentary call or receive further information? YesNo