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Questionnaire

* Required fields

* Company Name:
Address:
* City:	* State:
Zip Code:
* Primary Contact:
Title:
* E-Mail:	Phone:
	Number of expatriate employees internationally:
	Number of different countries where employees reside:
	Do you currently have EAP services for your international employees?
	Are your international employees experiencing difficulties that you believe would benefit from an EAP?
	If yes, please explain below:
	What is the average length of a foreign assignment for your expatriates?
	If other, please specify below:
	Average cost of a foreign assignment for your organization: $
	What is the success rate for foreign assignments for your company? %
	How did you hear about WorldWide EAP?
	If other, please specify below:
	Comments:

Tel: 818.551.1202 Fax: 818.551.1152 Toll Free: 888.953.9100

E-mail: info@worldwideeap.com