Consulting For Employers & Organizations Questionnaire Form

We help employers and organizations move beyond burnout, build resilience, and enable teams to thrive amidst competing priorities and demands.

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Point of Contact Information

Main Point of Contact: Name & Title

Phone

Alternate or Stand in Point of Contact: Name & Title

Phone

Business/Organization Information

Name

Type of Organization/Business

Organization Size

Organization website

Preferred Method of Services

Which do you prefer?

Virtual In-person

If in-person, please specify the venue:

Location

City

State

Zip code

What is your preferred timeframe or event date?

Business/Organization Challenges

1. What is the top challenge that your business, organization, or team is experiencing?

2.How did you determine your business, organization or team’s top challenge?

3. What steps are you taking to address this challenge, and how effective are these measures?

5. Who is the intended audience (e.g., executives, employees, or teams)?

6. How many participants are expected?

7. Are there any specific topics or focus areas you would like covered? Yes, Please elaborate.

8. What are your expected outcomes from this consulting partnership?

9. How does finding a solution for your teams’ performance and wellness align with your business or organization’s mission, vision, values, productivity statement, primary goals and top priorities for the year?

10. What significant benefits or measurable impacts do you anticipate from addressing this issue within your business, organization or team?

11. Do you require follow-up support, materials, or additional consulting or coaching after the session?

Yes No

Please elaborate or provide details

12. Which option is your business or organization ready to invest?

Short-term $15,500 - $55,000 Long-term $56,000 - $200,000?

13. What additional information would you like to share to ensure you gain the best experience from this holistic consulting solution?

14. How did you hear about our services?

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