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Speaking Inquiry Form for Ami Kunimura, Ph.D., MT-BC
Founder of The Self-Care Institute
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Your contact information:
Your name:
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Your email address:
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Your phone number:
Your answer
Name of your company, organization, and/or event (if applicable)
Your answer
Size of your company, organization, and/or event (if applicable)
Your answer
Location (also please indicate virtual or in-person preferences):
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Event date and time (if known):
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Who will be in the audience? Who will this event be for?
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Type of speaking event you are interested in (check all that apply)
Keynote
1-2 hour talk, lecture, training, or seminar
Half-day training, seminar or workshop
Full-day training, seminar, workshop, symposium, or institute
Other:
What topics are you interested in? (Check all that apply)
Self-care education
Burnout prevention
Stress management
Mindfulness, meditation, and well-being
Employee/Employer wellness
Other:
What is your budget for this event?
Your answer
Please describe more details of what you are looking for and how you hope Ami Kunimura's expertise can be of help to you, your organization, or your event. Feel free to share anything else we should know about you and/or your organization.
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How did you hear about us?
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Availability varies by month and rates vary by event type, size, length, and, location.
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