30 Minute Complimentary Corporate Consultation - Request Form
Your Name:
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First Name
Last Name
E-mail:
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Company Name:
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Company Website:
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Your Phone:
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What does your company do?
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How many employees in your organization?
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What's your title?
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Founder / Business Owner / CEO
C-Suite Executive (COO, CFO, etc.)
Vice President / Director of Operations
HR Manager / HR Director
Learning and Development Manager
Other
If "Other", share:
How Did You Hear About Blaire?
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Services you're interested in:
Consulting and/or Coaching - Business Owner / C-Suite / HR Team
Consulting and/or Coaching - Mid Level Managers
Group Coaching - Employees
Training Programs
Combination of Coaching, Consulting, Trainings
Event Consulting or Event Production/Management
Keynote Speech
Something else
What's happening within your organization? Check all that apply
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Constant turnover and/or call-outs
Workplace drama, attitudes, cliques, gossip
Employees lack professionalism and/or communication skills and/or need constant hand-holding and babysitting.
Poor online reviews, a lot of client complaints
Owners or managers micromanage, use a harsh tone, and/or act cold and aggressive.
Employee burnout, sluggishness, low morale, anxiety, low motivation
Employees struggle with personal accountability, frequently point fingers and play the victim
The operation feels tense and unsafe, driven by control tactics instead of safety
Total disconnect and lack of trust between different teams and job titles.
Managers complain about owners/upper management or vent about employees to other staff.
Other
What would you like me to help you with?
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Have you looked over my training programs and/or keynotes? Which ones are you interested in.
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When do you want to get started?
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Immediately (Within the next 30 days)
Within the next 60 to 90 days
Just gathering information for future
Potential Dates For Your Event / Training Program:
Your Ballpark Budget
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Expected Attendance
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Training / Event Demographics
Anything Else I Should Know?
What Are You Looking To Accomplish By Booking Me
Your Cell Phone - This is only used so I can confirm when I've replied to your email, ensuring you get it
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Share 3 Dates & Times You're Available In The Next 2 Weeks To Have a Call (9:30AM, 10AM, 10:30AM, 11AM EST/NYC time zone). Consults are generally done in the AM
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Submit Form
Thank you for your interest in my service. I will contact you within 24 hours (M-F). I reply to all emails, so if you don't get a response within this time, it just means my or your email got lost (check spam). If this happens, call/text me at 917-979-3177 (make sure to leave a message, if you call). I will get back to you.
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