JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Retreats + Offsites Interest Form
Thank you for your interest in partnering together to design a customized retreat or team off-site! Please complete the information below so I can learn more about your desired goals and specific needs.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Client Information
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Phone Number
*
Your answer
Best time to call (Please check all that apply)
*
Anytime!
Morning (9:00am-12:00pm)
Lunch-hour (12:00-1:00pm)
Afternoon (12:00-5:00pm)
Evenings (5:00-8:00pm)
Weekends Okay
Required
Current Location
*
Your answer
Employer + Title of Role
*
Your answer
Demographics + Logistics
Who is this service for? (Please check all that apply)
*
Myself only
Myself and my immediate team
Larger Organizational Team
Other:
Required
If this service is for a group/team, please share more about the audience here (type of organization, demographics, audience size, etc)
Your answer
If you have a specific date or date range in mind, please share this here:
MM
/
DD
/
YYYY
Time
:
AM
PM
Use this space to elaborate more on desired date/time:
Your answer
Do you have a desired location or is a location already selected?
*
Your answer
Do you need support in planning the logistics of the retreat/off-site?
*
No, we have this covered already
Yes, please let me know more about what you can provided
Not sure yet...
Other:
Desired Goals + Outcomes
What issues are you currently facing that you're seeking support for?
*
Your answer
Please describe any desired solutions or specific goals more in depth here:
*
Your answer
If you are interested in learning more about any other custom leadership solutions, please check all that apply below:
Executive Coaching + Lifestyle Strategy
Organizational Culture Consulting
Team Training + Development
Managing Millennials
Strengths-Based Interventions
Millennial Masterclasses
Mastermind Communities
Other:
Please share anything else I should know before we connect here:
Your answer
What People Are Saying About Lead With Intention™
Learn more about what past clients have experienced when we've partnered together!
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms