Name:

Email:

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Dear Prospective Participant/Program Sponsor,

Thank you for your interest in our programs. I look forward to meeting and getting to know you.

These questions will help you get ready for our first call and help me be more in tune with you, what you are looking for, and how I can best support you and your organization. All answers are confidential and will not be shared with anyone. Thank you for taking the time to answer these questions thoughtfully.

If you have not done so already, please make sure to schedule a "Get Acquainted DTE Consult" call with me by contacting my team at Assist@DareToEngage.com.

I look forward to connecting with you!

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DIRECTIONS:
Please answer the following questions and submit at least 24 hours prior to your scheduled call. (Just hit submit!) If you prefer to work off a hard copy; you can receive a PDF of this form by clicking here. Please fax the form to me at 1-877-994-DARE or email Anese@DareToEngage.com before we talk.

To schedule your call, please contact Gina at 1-877-994-DARE (ext.1) or email Assist@DareToEngage.com and we’ll set you up!

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Questions for your "Get Acquainted" Call with Anese Cavanaugh

The (*) means the field is required.

Name *:

Email Address *:

Phone *:

Organization *:

What interests you about the DareToEngage Program? *

What do you WANT? *

What result is your company looking for? What do you want to be different? *

How will you know when the desired impact is reached? *

What is your greatest challenge right now? *

What's at stake for you? *

Where would you like to see yourself 6 months from now as a result of our work together? *

If you could have 3 results right now, what would they be? *

How would you feel if you had them? *

On a scale of 0-10 (with 10 being extremely), how committed are you to creating these results? Please elaborate. *

How willing are you to do the work that needs to be done and to invest the time, money and energy in yourself and in your people? (0-10) Please elaborate. *

How committed are your people to participating in a coaching/training program that will help them stretch and be more effective leaders? *

Additional Comments:

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