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Dr Zhana Events Inquiry Form
Thank you for your interest in booking Dr. Zhana for one of your speaking / training events.
Please complete this short form so we have a better idea of your event.
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Email
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Your email
What's the name and nature of your organization or group? (If you have a website and/or social media accounts, please provide them)
Your answer
What's your name, and what's your role in this organization or group?
Your answer
Where is your organization or group primarily located?
Your answer
How did you hear about me?
Your answer
What's the event you'd like to book me for? (Describe in as much detail as you think is relevant)
Your answer
Suggested or fixed date/s for the event?
Your answer
Is this an online or in-person event?
Online only
In-person only
Online and in-person
Up to you
Other:
Clear selection
Is this event just for members of your group/organization or open to the public?
Our members only
Our members and the public
The public only (we don't have membership)
Other:
Clear selection
What best describes the type of teaching you'd like me to do?
Talk/Lecture w/ or w/o Q&A (up to 1.5 hrs)
Workshop (2-3 hrs)
Half-day training (~4 hrs)
Full-day training (~8 hrs)
Multi-day retreat
Other:
Clear selection
Which of these topics are you most interested in for this event? (Check multiple if relevant.)
Love Smarter: The Five Relationship Types and How to Find the One for You
Navigating Consent
Conquering Jealousy
(Not) Catching Feelings
Negotiating Sexual Health
Shedding Shame
Caring for Yourself and Your Partners
Healthy Hookups
Balancing the Masculine and the Feminine
Other:
How many attendees are you expecting, and what are their demographics?
Your answer
Will you need our help marketing the event?
No, we will do all the marketing.
We will do most of the marketing, but we would welcome your help.
We expect to market this 50-50.
We'd be greatly relying on your marketing.
Clear selection
What's your budget for my speaking fee?
Your answer
By when do you need to know if I'm available for this event?
Your answer
Anything else you'd like me to know about this event or your organization that will help me better understand how I could best serve you and your audience?
Your answer
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