Theory of Change Consulting Client Intake
Please complete this form. We will be in touch with you no later than 2 business days after submission.
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Email *
Name *
Company/Organization Name *
What is your role in the company/organization? *
Will you be the decision maker at your organization during our work together? *
What is your budget for the scope of work? (Note: this is for the entirety of our working relationship together, not a monthly budget). *
How big is your team?
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How many of your team members will be participating? *
What are the ideal start and end dates for your project? *
Describe your current team dynamic. Is it highly collaborative? Does everyone have their own set of responsibilities with minimal/as needed interaction? Is conflict during team meetings a norm? *
What is the scope of the project? What are some desired outcomes and deliverables that would make our partnership a success? *
How can Theory of Change provide support for you and your team on these outcomes and deliverables? *
Is this the first time you are bringing in an outside consultant to work with you and/or your team? If no, please describe in detail your previous experiences. *
How did you hear about our company? *
Terms and Conditions
This is not an agreement to a coaching/consulting relationship and is intended for informational purposes only. The company,  Theory of Change Consulting, LLC, shall not be liable for any costs, damages, or wages associated with the submission of this form including but not limited to: data, phone service, internet, lost wages and time, etc.
Please type your name as an electronic signature affirming your consent to the terms above. *
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