Care Packages Survey

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* 1. Is this Care Package for you or it is a gift for someone else?

It's for me.

It's a gift.

If this is a gift, who is it for? (Coworker? Friend? Any info you add is helpful!)

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* 2. What is your favorite non-fiction book?

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* 3. What is your favorite fiction book?

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* 4. Would you like to add any of the following professional development options? Select item(s) you would like to add to your order.

Customized Staff Meeting Agenda +$15 (2-3 page ready-to-use plan, focused on introducing key themes from the book)

Customized Personal Development Plan +$15 (2-3 page ready-to-use plan, focused on refelction and goal setting aligned with key themes from the book)

Access to Virtual Discussion Group +$30 (group will meet twice, mutually agreeable times and dates TBD; each session is about 40 minutes with discussion focused on key themes from the book)

Access to Thematic Training Video +$50 (this 30-minute prerecorded video focuses on key themes from the book and is suitable for staff meetings)

Access to 1:1 Coaching Session +$75 (1-hour session held via Zoom, with in-person local options available)

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* 5. Please provide your contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

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* 6. This order will be delivered to the address you noted above. Local porch delivery is free; shipping adds $8. Please note which option you prefer.

Free local delivery, please.

Shipping, please. +$8

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* 7. Based on your selections above, what is the total amount due?

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* 8. Payment by Venmo is preferred.

I'll send payment by Venmo (@Christina-Fecio)

I'll send payment by PayPal (https://www.paypal.com/paypalme/ChristinaFecio)