Creative Capacities LLC Group Facilitation Service Assessment

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* 1. Please share your contact information, so I can follow up with you.

Name

Company

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. What is the main need or purpose of the facilitated meeting?

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* 3. What tangible results do you want from the meeting(s)?

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* 4. Preferred date, time frame, and location for the meeting?

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* 5. How many participants will be there?

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* 6. What do I need to know about the participants?

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* 7. Who is involved in the preparation?

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* 8. Please share any additional needs you may want me to address.