Gray Hair Management

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Background Information

1. Are you currently employed? (If yes, skip to Question 5) Yes No

2. If not, how long have you been unemployed? 0-3 months 4-6 months 7-12 months More than 12 months

3. Did you receive a severance package? None 0-3 months 4-6 months 7-12 months More than 12 months

4. Did your package include some kind of outplacement? None 0-3 months 4-6 months 7-12 months More than 12 months

Outplacement Company: Drake Beam Morin Lee Hecht Harrison Right Management Robertson-Lowstuter Scherer Schneider Paulick Other:

5. During your career, have you ever used the services of a career coach? Yes No

If yes, are you currently using a career coach? Yes No

6. Latest annual base compensation? <$75K 76-100K $101-125K $126-150K $150-175K $176K +

7. Where do you feel you may need some help in your job search or career growth? Receiving additional job leads. Networking events and contacts. Developing a job and/or career strategy.

Human Check

I certify that I am a human and not a computer bot by answering this simple question. Chicago is the largest city in what State?

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