Thank you for your interest! Please fill out the form below.

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Name

Organization

Preferred Contact Method

Phone

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General Information

Where/How did you hear about us?

Target Training Date

Desired Training Format

Online (Live Video Call)In Person

You selected "In Person." Where is your desired location?

Desired Training Freqency/Type

One-Time Keynote (e.g. company sponsored conference or team-only all-hands)Multi-Session Customer Services Training (e.g. Quarterly for New Hires)Multi-Session Team Cohesion Training (e.g. Quarterly for New Hires)

Desired Areas of TrainingPlease select from the options below and/or provide additional details:

Leadership DevelopmentMotivationalCommunication SkillsTeam CohesionCustomer ServicesUnderstanding the Value of Organizational InclusionOther

You selected "Other." Please provide more details:

Participant Details

Approximate Number of Participants

Professional Role(s) of ParticipantsSelect all that apply

C-Suite ExecutivesManagersCustomer Facing StaffAll

Training Goals

After engaging our services, how will you define success?

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Additional Information

What else should we know before building a customized proposal for your business?

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Have you hired outside trainers/keynote speakers before?

YesNo

What did you appreciate about that training?

What could have been improved?

How frequently do you offer recurrent training?

What is your annual training budget?

At Brett Heising Accessibility Consulting we believe that everything we do is relationship-driven. We appreciate the opportunity to design a custom training program that meets your needs, and we look forward to working together!  

Sincerely,  

Brett & Liz

 brett@brettheising.com • +1.602.405.9103

liz@brettheising.com • +1.602.625.8025