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Please complete the following questionaire to the best of your ability.

Retirement (from retiree)
General Information
Note: Your information will be kept in strict confidence. We do not harvest e-mail addresses for purposes of spam and do NOT sell or distribute to any 3rd party. Its purpose is only to help us understand your needs.
   
Full Name:
e-mail:
Telephone:
ie. 555-555-5555
Length of speech :
(minimum 3 minutes)
minutes
   
Questionaire
 
When & where are you giving this speech?
What position did you occupy at work and for how long?
Why are you retiring?
What has your work meant to you over the years? Please be specific.
What will you miss? What are your fondest memories?
Can you supply anecdotes to support these memories?
What are your plans for the future?
Are there any special comments you would like to make?
Are there people you would like to thank?
 
Thank-you for completing this questionaire. Click below to send.
 


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