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Guest Survey Form

This is an explanation of the purpose of the form ...


Name (optional)

E-mail (Optional)

What City do you currently live in?

What State do you reside?

What Country?


Number of Years in Toastmasters

Highest Level of Achievement in Toastmasters

- None   - CTM     - ATM    -ATM-B    -ATM-S    -ATM-G -DTM


Yes    No 

Check which, if any , club officer positions you have held or currently hold (check all that apply):

- President

- Vice President of Membership

- Vice President of Public Relations

- Vice President of Education

- Treasurer

- Secretary

- Sergeant at Arms

- None

Reasons you joined or would like to consider joining Toastmasters?(check all that apply):

- Want to learn to overcome fear of being in front of people.

- Need to improve my speaking skills for work.

- Want to develop my leadership abilities.

- Interested in speech competitions 




Copyright 2000 [Addison Singles Toastmasters]. All rights reserved.
Revised: March 04, 2000

Copyright 2000 by Addison Singles Toastmasters. Created by Magee Website Productions. Messages to Webmaster can be directed to Bill Magee.

The names "Toastmasters International", "Toastmasters" and the Toastmasters International emblem are trademarks protected in the United States, Canada and other countries where Toastmasters Clubs exist. Unauthorized use is strictly prohibited.