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'The Power of Understanding' Request Form
This form is intended for those interested in utilizing the services of "The Power of Understanding" to improve health literacy at their organization. Please complete all required information and we will be in touch as soon as possible to learn more and provide a quote for services.
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Email
*
Your email
What is your name?
*
Please include both first and last name.
Your answer
What is your phone number?
You may also include best times to call.
Your answer
What organization do you represent?
*
Please list the name of the organization you would like to request 'The Power of Understanding' services on behalf of. You must currently work for this organization in order to request a consultation.
Your answer
What is your job title?
*
Your answer
What are some of the needs your organization may have regarding health literacy?
Your answer
How did you hear of 'The Power of Understanding'?
Your answer
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This form was created inside of Michigan Health Council.
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