Pre-Program Questionnaire – AIPCA Name of Contact Contact Postion Title Organisation Contact Email(Required) Program---Please Select---Managing Difficult and Demanding PeopleLeading the Hybrid FutureDelivering 5-Star Customer ServiceDelivering Premium Patient ExperienceTrain the TrainerMARATE SkillsLeading the Exhausted WorkforceLeading Change SuccessfullyManaging Difficult and Demanding ClientsGroup 1 - Date DD slash MM slash YYYY Start Time Hours : Minutes AM PM AM/PM Finish Time Hours : Minutes AM PM AM/PM Group 2 - Date DD slash MM slash YYYY Start Time Hours : Minutes AM PM AM/PM Finish Time Hours : Minutes AM PM AM/PM Facilitator(Required)---Please Select---David PatmoreMatthew BarryMatt SabellGroup 1Participant 1 - Name Position/Title Email Participant 2 - Name Position/Title Email Participant 3 - Name Position/Title Email Participant 4 - Name Position/Title Email Participant 5 - Name Position/Title Email Participant 6 - Name Position/Title Email Participant 7 - Name Position/Title Email Participant 8 - Name Position/Title Email Participant 9 - Name Position/Title Email Participant 10 - Name Position/Title Email Participant 11 - Name Position/Title Email Participant 12 - Name Position/Title Email Participant 13 - Name Position/Title Email Participant 14 - Name Position/Title Email Participant 15 - Name Position/Title Email Participant 16 - Name Position/Title Email Participant 17 - Name Position/Title Email Group 2Participant 1 - Name Position/Title Email Participant 2 - Name Position/Title Email Participant 3 - Name Position/Title Email Participant 4 - Name Position/Title Email Participant 5 - Name Position/Title Email Participant 6 - Name Position/Title Email Participant 7 - Name Position/Title Email Participant 8 - Name Position/Title Email Participant 9 - Name Position/Title Email Participant 10 - Name Position/Title Email Participant 11 - Name Position/Title Email Participant 12 - Name Position/Title Email Participant 13 - Name Position/Title Email Participant 14 - Name Position/Title Email Participant 15 - Name Position/Title Email Participant 16 - Name Position/Title Email Participant 17 - Name Position/Title Email EmailThis field is for validation purposes and should be left unchanged. Δ
