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* What is your name?
   
 
 
 
What company do you work for?
   
 
 
 
* How long have you worked at your current place of employment?
 
Less than 1 year
 
1-2 years
 
2-5 years
 
More than 5 years
 
 
 
* What is your favorite color?
 
Red
 
Orange
 
Yellow
 
Green
 
Blue
 
Purple
 
Black
 
White
 
Pink
 
Other
 
 
 
 
What kind of car do you drive?
   
 
 
 
Do you read for fun?
 
Yes
 
No
 
Sometimes
 
 
 
* List 3 books you are looking forward to reading in the next year:
   
 
 
How satisfied are you with the following:
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
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