Retreats + Offsites Interest Form

Thank you for your interest in partnering together to design a customized retreat or team off-site! Please complete the information below so I can learn more about your desired goals and specific needs.
Client Information
First Name *
Last Name *
Email Address *
Phone Number *
Best time to call (Please check all that apply) *
Current Location *
Employer + Title of Role *
Demographics + Logistics
Who is this service for? (Please check all that apply) *
If this service is for a group/team, please share more about the audience here (type of organization, demographics, audience size, etc)
If you have a specific date or date range in mind, please share this here:
Use this space to elaborate more on desired date/time:
Do you have a desired location or is a location already selected? *
Do you need support in planning the logistics of the retreat/off-site? *
Desired Goals + Outcomes
What issues are you currently facing that you're seeking support for? *
Please describe any desired solutions or specific goals more in depth here: *
If you are interested in learning more about any other custom leadership solutions, please check all that apply below:
Please share anything else I should know before we connect here:
What People Are Saying About Lead With Intention™
Learn more about what past clients have experienced when we've partnered together!
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy