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Wired for Over-Responsibility Workshop Inquiry
SECTION 1 — CONTACT
First and Last Name
*
Email Address
*
SECTION 2 — ORGANIZATION
Organization Name
*
Your Role / Title
*
Are you the decision-maker for this booking?
*
Are you the decision-maker for this booking?
A
Yes
B
No
C
Apart of the decision-making team
SECTION 3 — EVENT DETAILS
Event Date or Estimated Timeframe
*
Event Format
*
Event Format
A
in-person
B
Virtual
SECTION 4 — AUDIENCE
Estimated Audience Size
*
Who is the audience?
*
e.g. leadership team, staff, organization members, mixed group
SECTION 5 — The Current Challenge
What challenges are your team or audience currently experiencing?
*
What made you start looking for a workshop like this now?
*
SECTION 6 — EXPERIENCE TYPE
Which experience are you interested in?
*
Which experience are you interested in?
A
Foundational Session
B
Interactive Workshop
C
Extended Experience/ half day
D
Still deciding
SECTION 7 — OUTCOME
What do you want participants to walk away with?
*
SECTION 8 — BUDGET
What budget range have you allocated for this experience?
*
What budget range have you allocated for this experience?
SECTION 9 —TIMELINE
When do you need to finalize your speaker/workshop?
SECTION 10 — FINAL DETAILS
Anything else I should know about your event or audience?
*
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