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Items marked with an asterisk (*) are required.

1) Contact Information

Name * :

 

Job Title * :

 

Company * :

 

Address * :
City * :

 

State * :
Zip * :

 

Email * :
Work Phone * :

(If you're seeking a public speaking coach for yourself, skip to Question #5)

2) Are you responsible for the hiring of outside vendors/trainers for your company?

      Yes
      No

3) Are you currently working with a Public Speaking Coach/Vendor?
      Yes
      No

If yes, are you currently looking to change your Vendor?
      Yes
      No

4) Which services are you interested in?:
Customized workshops on presentation skills (all day- up to 12 people)
Individual Coaching program for employee(s)
Workshop on effective moderation skills
Workshop on media interviewing
Onsite consultation (verbal critique of presenters)
Critique of slide presentation
Editing of speeches
College Interviewing Coaching or Presentation Skills for Students 
Moderation of meetings
Coaching individuals whose English is their second language
Lectures (presentation skills, sales, facilitation, media interviewing)

5) What is your timeframe in hiring a Public Speaking Coach/Vendor?
      Immediately
      2-4 months from now
      4-6 months from now
      6 months to a year from now
      Unsure

6) Questions or Comments?





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Victoria Chorbajian
  Basking Ridge, NJ 07920
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