Questions for Clients Booking a Speaking Engagement

Please complete the following form below to inquire about booking Jennifer for a speaking engagement

1. How did you hear about “The Therapist Next Door” or were you referred by someone?

2. Tell me a little bit about your organization.

3. Title and Description of the Event?

4. Date of the Event?

5. Location of the Event?

6. Time of the Event?

7. Length of time allotted for me to speak/present?

8. Potential audience size?

9. Type of Event

Moderator

Panelist

Conference Presenter

Keynote

Speaker

Host

Other:

If Other Please enter here.

10. Are the attendees paying to attend the event?

11. Do you have event sponsors?

12. Time

December, 20, 2021 12:00

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