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Speaking Questionnaire
Email *
Please select your call preference: *
Cell Phone & Skype ID (If Non US Resident, Input Skype ID) *
Best email address: *
What is the name of your organization and who do you serve? *
What is your role within the organization? *
What are the ways you would like your organization to feel inspired, learn or grow in? *
What fixes or solutions have you tried in the past? How did they help? How have they not helped? *
What is the theme and purpose of your gathering? *
Place a check mark next to the top areas that you feel that your organization needs the most help with: *
My programs work best with heart-centered, evolving and emerging influencers - leaders who are ready to invest in themselves, discover who they are at their core and live with intention. Why do you feel your organization is a good candidate to be considered? *
A copy of your responses will be emailed to the address you provided.
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