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Consultation Request - Impact Governance Advisory

Section 1: Basic Information

1. Full Name

2. Email Address

3. Phone/WhatsApp

4. Country of Residence

Section 2: About Your Organization

6. What is the name of your organization (if already decided)?

7. What is the type of your organization?

7. What is the type of your organization?
A
B
C
D
E

8. What stage are you currently at?

8. What stage are you currently at?
A
B
C
D
E

9. Briefly describe your organization's mission (3-5 lines)

10. Where will/does your organization operate?

10. Where will/does your organization operate?
A
B
C
D
E

If you selected other, please specify

Section 3: Your Current Needs

11. What do you need support with? (Select all that apply)

11. What do you need support with? (Select all that apply)

If you selected other, please specify

12. What is your main challenge right now?

13. Have you worked with a consultant or advisor before?

13. Have you worked with a consultant or advisor before?

If yes: What worked well/what didn't?

Section 4: Funding & Readiness

14. Does your organization currently have funding?

14. Does your organization currently have funding?

15. Do you already have any of the following? (Check all that apply)

15. Do you already have any of the following? (Check all that apply)
A
B
C
D
E
F
G

Section 5: Commitment & Timeline

16. When would you like to start?

16. When would you like to start?

17. What is your approximate budget range for this support

17. What is your approximate budget range for this support

Final

18. How did you hear about this service

19. Is there anything else you would like us to know?

⚠️ Important Note This service provides strategic guidance and structured support. It does not include full document writing or a guarantee of funding outcomes. Clients are expected to actively participate in the process.