JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Corporate Event / Conference Keynote with Leah Lovelight Inquiry Form
Thank you for considering me as a potential keynote speaker for your event.
I'm honored by the opportunity and excited to learn more about the event and how I can contribute to its success.
Once you've completed the questionnaire, feel free to reach out to me, and I'll be happy to discuss the details further.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
Your answer
Last Name
*
Your answer
Event/Organization Name:
*
Your answer
Email address
*
Your answer
Phone Number
*
Your answer
Preferred Method of Communication (Email, Phone, or Video Call):
*
Email
Phone
Zoom
Other:
Required
Event Date and Duration:
*
Your answer
Will the event be in-person, virtual, or a hybrid format?
*
In Person
Virtual
Hybrid
Other:
If Applicable - Event Location (City, Country):
Your answer
Briefly describe the purpose and theme of the event:
*
Your answer
Estimated number of attendees and their demographics (if available):
*
Your answer
What specific topics or areas would you like me to address as a keynote speaker?
(For example, Fear, Self-Love, Modern Fear, Radical Self-Acceptance, Empowerment)
*
Fear as Our Ally
Self-Love - Love In Action
Modern Fear the Invisible Prison
Radical Self-Acceptance - The Good, The Bad, and The Ugly
Personal Empowerment
Other:
Required
What is the expected duration of the keynote speech?
*
Your answer
Are there any other speakers or special guests lined up for the event?
*
Your answer
Please provide any information about the event's target audience and their interests:
*
Your answer
Are there any specific outcomes or key messages you hope the audience will take away from my keynote speech?
*
Your answer
Have you hosted similar events in the past? If yes, please provide some details.
*
Your answer
How did you come across my profile or work, and what made you consider me as a potential keynote speaker?
*
Your answer
Will the event cover travel expenses and accommodations, if applicable?
*
Yes
No
Maybe
Do you have a budget for keynote speakers?
*
Yes
No
Maybe
Please provide any additional information or questions you may have:
Your answer
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
