Pre-Speaking Engagement Questionnaire
Thank you for your interest in booking Tacha Fletcher, LCSW for your company and/or community. Please complete this Pre-Speaking Engagement Questionnaire to inform her of your needs and how she can best serve your company and/or community. Once your questionnaire has been received, a member of the team will reach out with next steps within 72 business hours. If you have any questions or need anything additional, please email info@wellnesstreecounseling.com
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First Name *
Last Name *
Email *
Company/Organization's Name *
Company/Organization's Website *
Date of Event *
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Time of Event *
Time
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What are you interested in booking Tacha for *
Location of Event *
Title of the Event *
What is the focus, objective and results you wish to achieve for this event/function?
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Est. Audience Size
*
How would you describe the gender makeup of the audience?
*
Where can we find you or the company online? Please provide website URL's and social media handles.
*
Anything else you'd like Tacha to know regarding you, your business, or the event?
*
I understand that all in-person events require Tacha's travel costs to be covered by the event host/company (airfare, transportation and lodging/accommodations). Travel fees include but are not limited to airfare (first/business class), 4-star accommodations and private car transportation. These costs will be included in the proposal.
*
Required
How did you hear about Tacha?
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Please share the specific event, company or person. We value referrals and want to say thank you!
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