Client Booking Form - The People Company Consulting Group Consulting Group

Thank you for taking a few minutes to complete this short questionnaire. Your input will help shape a presentation that is relevant, timely, and tailored to your real-world challenges. All responses are confidential unless you choose to be acknowledged. The form should take no more than 5–10 minutes to complete.

Name(Required)

First Last

Email(Required)

Phone

Organization Name

Job Title / Role

How can Deborah best serve you?(Required)

Book Deborah for a Speaking Engagement

Schedule Training or Workshops

Leadership Coaching or Strategy Support

Individual or Group Coaching/Advising

Deborah’s participation in a Media Interview (podcast, radio, television, article, web series, or another interview)

General inquiry

Other

Event Details (Include date, time, location, event name/title, event sponsor)(Required)

Is the event in-person or virtual?(Required)

We'd love to learn more about your event. Please share a little about its history, your audience members, and your specific goals and objectives.(Required)

What is your budget for this speaking slot, xxx?(Required)

Don't worry. Deborah has a price matrix that will not change based on your response. Understanding your budget will help us provide you with the best solution for your needs.

By what date are you making your speaker selection? (required)(Required)

An energetic and engaging talk inspires. However, it takes ongoing touchpoints to facilitate change. Which items below would make sense in ensuring your event attendees take action on the information shared?(Required)

Ongoing coaching or consulting

Access to training

Books or e-books for every attendee

A relevant, topic-specific resource guide

Other (Please indicate)

How Did You Hear About Deborah?(Required)

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