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Speaking Contact Form
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Email Address
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Phone Number
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Organization Name
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Contact Name
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Location of Organization
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Proposed speaking event month/year, if known. (If speaking event needs to be provided before or after a certain date for budget reasons, please indicate):
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Type of event
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Virtual
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Proposed Topic
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A Masterclass in Recovering from Long Covid
5 psychological survival strategies to make it through the darkest days of Long Haul Covid (and no, it isn’t positive thinking!!!)
A Polyvagal Pathway Out of Chronic Fatigue for Long Covid Recovery
A Mind-Body Pathway Out of the Overwhelm of Treatment Decision Fatigue and into Clarity and Safety for Covid Long Haulers
Detecting and managing Long Haul covid: the hidden pandemic in our patients (for behavioral health)
Understanding Long Covid through an Autonomic Lens: Why Polyvagal theory is so central to our recovery
Don’t lose your staff to Long COVID: managing the accommodations needed to keep your employees
Other:
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What is your budget for this speaking event?
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What are you hoping this speaking event will accomplished for your staff? Be as specific as you can.
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How many people will be at the proposed event?
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Please describe the types of people/professionals who will be at the proposed event.
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How did you hear about me?
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Anything else I need to know?
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