Conditional Form [vc_row][vc_column] Name(Required)Email(Required) Why are you interested in partnering? Share some details on where you are and where you'd like to be.How did you hear about our services?What service are you interested in learning more about? (Check all that apply)(Required) Alignment Coaching Hiring MaryBeth for Speaking Author Chats and Book Club Courses for Individuals Other Alignment CoachingPhone Number(Required)OccupationLinkedIn ProfileWhat made you want to work with MaryBeth as your coach?What do you believe a coach could support you with? List your 3 highest priorities in life that come to mind and speak to your heart.Is this something you have sought out support for before? If so, what worked and didn’t work for you?What is the present level of commitment to change so that you can reach your goals? (Rate from 1-10, with 10 being 100% committed.)Our work together will be an investment of energy, time, and money. Our coaching packages range from $500 to $2,000 a month. Are you able to make that investment? Yes No What haven't we asked you that would be helpful for us to know?Team Building Workshops + TrainingsOrganization NameContact Phone NumberWhich Workshop or Traning are you interested in? Permission to Be Human: Ignite a Values-Driven Culture Slow Down To Get Ahead: Become a Mindful Leader Ground in Your Values: Release Stress & Ignite Alignment When do you want to have the event?Is your timeframe flexible? Yes No Do you want to have an in-person or online event? In-Person Online Event Are you looking for a one-day, multi-day or ongoing partnership? One-Day Multi-Day Ongoing Partnership Our minimum engagement is $3,750. Are you prepared to make this kind of investment? Yes No What size group would participate in this experience?How would you describe your group?Is there anything else you would like us to know?What would make this a successful partnership for you?Author Chats and Book ClubOrganization NameContact Phone NumberWhen do you want to have the event?Is your timeframe flexible? Yes No Do you want to have an in-person or online event? In-Person Online Event Hybrid How many people do you expect at the event? Our minimum is 25 people.Which format of Permission to Be Human would you prefer Hardcover Paperback eBook Audiobook How would you describe your group?Is there anything else you would like us to know?What would make this a successful partnership for you?Hiring MaryBeth for SpeakingOrganization NameContact Phone NumberDo you have a date for your event?Is your timeframe flexible? Yes No Will the event be online or in-person? Online In-Person Hybrid MaryBeth's keynotes start at $7,500. Are you prepared to make this kind of investment? Yes No What is the size of your group?How would you describe your group?Which speaking topic are you interested in? Permission to Be Human: Guiding You to Create a Values-Driven Culture Uncover Your Authentic Self: The 5 Keys To Unlocking The True You Slow Down to Get Ahead: Become a Mindful Leader Is there anything else you would like us to know?What would make this a successful partnership for you?Corporate Values-Based Mindfulness RetreatsOrganization NameContact Phone NumberWhen do you want to have the event?Is your timeframe flexible? Yes No Will the event be online or in-person? In-Person Online Hybrid Are you looking for a one-day, multi-day or ongoing partnership? One-Day Multi-Day Ongoing Partnership Our minimum engagement is $33,000. Are you prepared to make this kind of investment? Yes No What is the size of your group?How would you describe your group?Is there anything else you would like us to know?What would make this a successful partnership for you? [/vc_column][/vc_row]
