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New Member Survey
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List Two Goals you wish to accomplish this year as a Toastmaster
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Comment
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List two goals you wish to accomplish in the next few months
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Comment
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Indicate your interest in participating in the following activities by checking the appropriate column:
Complete the Communication and Leadership Program manual and earn the Competent Toastmaster (CTM) award:
Choose One
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High Interest
Some Interest
No Interest
Complete Advanced Communication and Leadership Program manuals and earn the Advanced Toastmaster Bronze, Advanced Toastmaster Silver, or Advanced Toastmaster Gold award
Choose One
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High Interest
Some Interest
No Interest
Earn the Competent Leader or Advanced Leader Award
Choose One
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High Interest
Some Interest
No Interest
Help the Club with public relations and publicity
Choose One
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High Interest
Some Interest
No Interest
Contribute to or edit the Club newsletter or web site
Choose One
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High Interest
Some Interest
No Interest
Learn about parliamentary procedure
Choose One
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High Interest
Some Inerest
No Interest
Improve evaluation skills
Choose One
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High Interest
Some Interest
No Interest
Improve thinking skills
Choose One
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High Interest
Some Interest
No Interest
Improve meeting management skills
Choose One
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High Interest
Some Interest
No Interest
Improve listening skills
Choose One
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High Interest
Some Interest
No Interest
Improve management skills
Choose One
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High Interest
Some Interest
No Interest
Participate in club debates
Choose One
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High Interest
Some Interest
No Interest
Visit other Toastmasters
Clubs
Choose One
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High Interest
Some Interest
No Interest
Be part of a Club speakers bureau
Choose One
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High Interest
Some Interest
No Interest
Serve as a mentor for a new member
Choose One
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High Interest
Some Interest
No Interest
Help to increase Club membership
Choose One
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High Interest
Some Interest
No Interest
Participate in Toastmasters activities outside of the club
Choose One
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High Interest
Some Interest
No Interest
Present modules from The Better Speaker Series, The Successful Club Series, or The Leadership Excellence Series
Choose One
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High Interest
Some Interest
No Interest
Present modules from the Success/Leadership or Success/Communication Series
Choose One
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High Interest
Some Interest
No Interest
Serve as a Club officer (specify office)
Untitled
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Choose One
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High Interest
Some Interest
No Interest
Lead or help with Speechcraft program
Choose One
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High Interest
Some Interest
No Interest
Lead or help with a Youth Leadership program
Choose One
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High Interest
Some Interest
No Interest
Learn how to judge speech contests
Choose One
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High Interest
Some Interest
No Interest
Be a contestant in a speech contest
Choose One
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High Interest
Some Interest
No Interest
Organize a new Toastmasters Club
Choose One
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High Interest
Some Interest
No Interest
Serve as a District officer (specify office)
Untitled
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Choose One
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High Interest
Some Interest
No Interest
What suggestions do you have for improving our club
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What do you like about our club
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