JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Invite Juliet To Speak!
Juliet does in-person and virtual speaking engagements on a variety of mental wellness topics. If you’re interested in booking Juliet for a presentation, discussion, panel, symposium, workshop, or other event, please complete the form below and we’ll get back to you within two business days. Thank you for your interest! For any additional questions, please email admin@suncounselingandwellness.com
See Juliet's
MEDIA PAGE
for her media features (TV, magazines, podcasts).
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Full Name
*
Your answer
Business/Organization/Group
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Potential Topics I'm Interested In
*
General Mental Wellness & Stigma
Values-Alignment
Say What?! Communication IS Key
Burnout, Shmurnout
Breaking Down Mental Health Buzzwords
Let's Talk About Stress, Baby (and Coping Skills)
Digital Detox in a Hyperconnected World
From Inner Critic to Coach
Navigating Change & Uncertainty with Clarity & Resilience
Is Work-Life Balance Actually A Thing?!
Let's Customize Something!
Required
Description (please write any details about your event)
*
Your answer
Event Setting
*
Virtual
In-Person
Choice/Hybrid
Required
If in-person, where is your event? (please note: Juliet is located in Charlotte, NC and may require you pay for travel fees)
Your answer
Intended Audience (i.e.
teens, young adults, parents, business professionals, etc.)
*
Your answer
Expected Number of Attendees
*
Your answer
Time Length (how long would you like me to speak/present?)
*
Your answer
Event Date
*
Your answer
Estimated Budget
*
Your answer
How did you hear about Juliet?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Juliet Kuehnle.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report