Testimonial Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Testimonial Form

We Value Your Feedback!

Thank you so much for choosing to share your experience with 'Tine Zekis and Getting Black Women Paid. Your insights not only inspire us but also help others understand the potential benefits of our programs and services. We are truly grateful for your time and your willingness to contribute a testimonial.

How Your Testimonial Helps:

Your stories and feedback are crucial. They will be featured as blurbs on our website, across our social media platforms, and in promotional materials to give others a real sense of what they can gain from engaging with our offerings or joining our community.

Privacy Options:

We understand that sharing a testimonial is deeply personal, and we respect your privacy preferences. When submitting your testimonial, you can choose how you would like to be recognized, ranging from remaining completely anonymous to sharing more detailed information such as your full name, title, business, and even a photo. Whether you prefer to keep your identity private or are comfortable with more visibility, we value and appreciate your contribution at any level. Your choice helps others connect with your story in a way that respects your comfort and privacy.

Please Fill Out the Questions Below:

Your responses will directly support our efforts to empower more professionals like yourself to achieve their career and income goals. Feel free to express in your own words how your experience was with us, and any specific aspects that stood out.

Once again, thank you for taking the time to help us grow and inspire. We are excited to hear your story!

Let's start with your contact information

This information is optional and will only be used internally to reach out to you if we have any questions regarding your testimonial. Your privacy is important to us, and we assure you that your contact information will be handled with the utmost confidentiality.

Full Name:
Please enter your full name as it appears in official documents (this is for internal use only to keep track of your testimonial).

How Would You Like to Be Recognized in Your Testimonial?

We love celebrating our community members and sharing their stories. Please let us know how you prefer to be recognized when we feature your testimonial. Choose the option that feels right for you. Each level of recognition helps to inspire others and showcase the impact of our work together. Your comfort and privacy are our top priority.

Anonymously: I prefer not to be identified.

First Name and Last Initial: I'm comfortable with sharing my first name and last initial.

First Name, Last Initial, and Photo: I'd like to include my photo along with my first name and last initial for a more personal touch.

Full Name and Title (e.g., Shawna Murray-Browne, LCSW-C or Dr. Joy Harden Bradford)

Full Name and Title with Photo

Full Name, Title, and Business (e.g., Bola Sokunbi, Founder/CEO Clever Girl Finance)

Full Name, Title, and Business with Photo

Other:

Display Name for Testimonial:

How would you like your name to appear in the testimonial? (e.g., 'Tine Z. or Anonymous)

Email Address:
Please provide your email address below. We will use this only to contact you if we have questions about your testimonial or to follow up regarding the photo you wish to include with your testimonial, should you choose that option. Your email will not be used for any other purposes without your consent.

Phone Number:

If you prefer, you can provide a phone number for us to contact you regarding your testimonial. This will not be used for marketing purposes.

Preferred Contact Method:

How would you prefer we contact you if needed? (Select one)

Phone Call

Text Message/SMS

Please do not contact me about my testimonial

Clear selection

Social Media Links:

If you would like to be tagged in posts featuring your testimonial, please provide your social media handles or links. This is entirely optional.

Clear form

Never submit passwords through Google Forms.

This form was created inside of Getting Black Women Paid.

Does this form look suspicious? Report

Forms