Pre-Consultation Survey
You have done it. Whatever goal you are trying to accomplish, whatever dream you are busy chasing, whatever those haters told you you could not do, you are taking the first steps to do it. I congratulate you. You should also congratulate yourself. Thank you for trusting us to guide you down this process.

This pre-consultation survey will make our time together more efficient by giving us the necessary information to arrive at our consultation prepared. 

If there are questions you cannot answer, that is okay! We ask that you answer all questions to the best of your ability. 

We are automatically notified once you submit this form. After we review it, we will reach out to schedule your consultation! Consultations are $30.00 ~ our team will send you an invoice for payment once the date of your consultation is confirmed. 

Again, thank you for trusting and believing in our company's purpose. Let our journey begin.


~ The Afrocentric Communiversity Team
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I am a. . . . 
I am interested in learning about. . . . 
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Name & Preferred Pronouns
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Phone Number
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Preferred Email Address 

*(if you're submitting this survey from a non-preferred account)
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Business // Organization Name (if applicable)
What industry is your business // organization in? (if applicable)
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Your Life Work
We love to know the depths of potential Partners and their Life Work. At the 'A.C.', that's what we call folx calling, purpose or mission in life. The questions below will help us understand who you are and how we can support you.
What is your life's work?

*That's what we call folx callings, purpose or mission in life
What led you to scheduling this consultation?
Did you face certain internal challenges, barriers, or fears with scheduling this appointment? If so, please explain (in whatever way makes you feel comfortable)
What is your business or individual income? 

**We ask this to calculate our sliding scale offerings for you. If you are working with us as a business, indicate your business income. If you are working with us an an individual, indicate your individual income. 
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What questions do you want us to answer during your consultation? 
Thank you so much for filling out this survey. We look forward to speaking with you and starting our journey together! ~ Jalyn (Founder & Visionary)

Note all consultations are $30.00. Payment is due 24 hours prior to your consultation via Quickbooks. An invoice will be emailed to you.

Read this dope article about our company & Founder ~ https://fortworthreport.org/tag/jalyn-gordon/

Want the specifics of the company & what we offer? Check out this slide deck ~  https://docs.google.com/presentation/d/1AFklywRLC3dx1FtJNhMR4tTT07wOWhPiCdPWhb-7_Ck/edit?usp=sharing
A copy of your responses will be emailed to the address you provided.
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