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The Distinguished Group | Client Intake

Tell Us More About Your Organization

Full Name

*

Email Address

*

Phone Number

*

Organization Name

Organization Type

*

What Services Are You Interested In?
(Select all that apply)

*

What Services Are You Interested In?(Select all that apply)

Briefly Describe the Current Challenges You're Facing:

*

What Goals Would You Like to Achieve Through This Consultation?

Organization Size

*

Are You Currently Working with a Leadership Development or DEI Consultant?

A

Yes

B

No

Preferred Consultation Timeframe:

*

Are you the primary decision-maker?

*

Are you the primary decision-maker?

A

Yes

B

No

C

Part of a team

The Distinguished Group | Client Intake

Tell Us More About Your Organization

Full Name

Email Address

Phone Number

Organization Name

Organization Type

What Services Are You Interested In?(Select all that apply)

Briefly Describe the Current Challenges You're Facing:

What Goals Would You Like to Achieve Through This Consultation?

Organization Size

Are You Currently Working with a Leadership Development or DEI Consultant?

Preferred Consultation Timeframe:

Are you the primary decision-maker?

Any Additional Comments or Information We Should Know?

What Services Are You Interested In?
(Select all that apply)