You must have JavaScript enabled to use this form. Name of company Company contact name Company contact position Company contact email Company contact phone County where company is located Interviewer Name Interviewer Organization Interviewer Email Any Additional Interviewers Date Company Information Products: Market: Industry: Management: Workforce: Technology: Utilities: Community: Impressions Is company's role in community changing? If so, how? Is the company at risk of leaving and why? Is the executive undergoing stress that could be of concern, explain? On a scale of 1-10, does the executive support the community as a place to do business?
