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Consulting/Fractional Engagement
Contact Information
What is your name?
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What is the name of your business?
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What is your email address?
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What is your phone number
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What is your business's web address, if it has one?
Business Context
In what industry is your business?
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Annual Revenue
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Number of full-time employees
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What is your role in this business?
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If you marked "other", what role do you play in the company?
Insights
Why are you looking for consulting/fractional support at this time?
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Why are you looking for consulting/fractional support at this time?
If you chose "other", please provide a detailed answer describing your concerns.
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Symptoms / Self-Diagnosis
If nothing changes over the next 12 months, what concerns you the most?
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What do you believe needs to happen to improve your situation?
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Which statements feel true today?
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Which statements feel true today?
Engagement
If a practical path forward were identified, which best describes your willingness to act?
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If we spoke six months from now and you considered the engagement successful, what would be different?
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Submit