The Synergist Quiz (360 Version): Intake Form

Hi Les. We’re looking forward to generating your organization’s Synergist Quiz 360 Assessments!


About this form

We just need a few details in order to configure your assessment experience correctly, and this form will gather the information we need. Please take the 10 minutes or so needed to complete this form and submit your answers to us. Please note all questions are required.

First of all, please confirm your contact details below. If you are not our main contact, please enter their details instead:

This will be used in emails and other communications with your Assessees and Raters.
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