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Request For Services
Thank you for your interest in working with Kelechi Ubozoh! Please fill out this form and someone will respond to your request.
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Email
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Your email
Untitled Title
Name
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Your answer
Organization Name
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Your answer
Contact Phone Number
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Your answer
What type of service are you seeking?
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Healing-Centered Spaces for People of Color
Mental Health Self-Care Trainings
The S Word - Suicide Prevention Talk or Panel
We've Been Too Patient - Book Discussion with Kelechi
Public Speaking & Keynotes
Meeting & Retreat Facilitation
Training & Technical Assistance
Community Engagement & Planning
Consulting
Other:
When would you like to start your work with me?
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When would you like work to be completed?
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Please describe the type of service you are seeking in more detail. What brought you here?
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What drew you to work with me specifically?
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What does success on this project look like to you?
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What is something important to know about working with you/your organization?
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How did you hear about my services?
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Word of mouth
Direct referral
Live event
TV
Print
Radio
Podcast
Social media
Web search
Other:
If you were referred to me directly, who referred you?
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