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Consulting Intake Form

Before we jump into a conversation, I’d love to learn more about your organization and what you’re hoping to achieve. Your responses will help me assess whether I’m the right fit for your project—and how we can make the most of our time together. I'll review your submission and follow up within 1–2 business days. If it feels like a good fit, I’ll reach out with next steps or a scheduling link to continue the conversation. Feel free to email me directly if you have any questions: angiefitzpatrickphd@gmail.com Looking forward to the possibility of working together!

What's your name?

What's your email address?

Tell me about your organization. What's the name and what mission or purpose that drives your work?

What challenge or opportunity brings you here?

Which type of support are you looking for? Check all that applies.

Which type of support are you looking for? Check all that applies.

Tell me about your timeline and goals. What do you want to accomplish and when?

Have you worked with a consultant before?

Have you worked with a consultant before?
A
B
C

What is most important to you in a consultant?

I strive to make every session inclusive and welcoming for all participants. Please let me know if you have any access needs or would benefit from specific accommodations. Advance notice helps me ensure that everyone can fully participate. Do you have any access needs or accommodations that would help you fully participate in our session?

I strive to make every session inclusive and welcoming for all participants. Please let me know if you have any access needs or would benefit from specific accommodations. Advance notice helps me ensure that everyone can fully participate. Do you have any access needs or accommodations that would help you fully participate in our session?
A
B

If you require access needs or accommodations, please describe below (e.g., accessible digital formats, large print, audio descriptions, mobility support, sensory accommodations, etc.).

Is there anything else you'd like me to know?