JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Silent Partner Possibility
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Have you ever been a student of Randy Willingham's?
*
Yes
No
If yes to the above question, what class or what subject have studied with Randy Willingham?
Your answer
Check any boxes below where you have technical training or significant skill?
*
Please check all that apply.
Therapy
Pastoral Counseling
Counseling other than Therapy or Pastoral Counseling
Pharmacist, MD, RN or Other Medical Professional
Case Study Methodology Organizational Development
Strategic Planning
Statistician or Other Work with Survey Development
Consulting Organizations or Personal Coaching
Online Technologies (Click Meeting, GotoMeeting, Elluminate, or other webinar options)
Computer & Technology
Conflict Dispute, Mediation, or Negotiations
Business or Legal Negotiations
Biblical or Theological Studies
Ministry Training
Legal Expertise
Interrogation Techniques (E.g., Reid Technique, Micro-expressions, Body Language, etc)
Law Enforcement
Research in Transition Management or Grief Counseling
Other:
Required
Will you commit to the no speaking guidelines described on the web site that led you to this survey?
*
Yes
No
Will you commit to the no confidentiality guidelines described on the web site that led you to this survey?
*
Yes
No
Will you commit to the no use of materials guidelines described on the web site that led you to this survey?
*
Yes
No
Will you commit to the contact initiation guidelines described on the web site that led you to this survey?
*
Yes
No
Are you currently a member of PHV?
*
Yes
No
What is your name?
*
Your answer
What is your email? Other contact information?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pure Heart Vision.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report