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* Email

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* First and Last Name

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* In what way is what we covered applicable to your work?

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* I learned...
What did you learn that is useful for your work?

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* I'm taking away...
What are you taking away as far as tools, skills, or insights?

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* My Next Steps
What small sweet step(s) are you willing to take next? By when? What support will you put in place so that you can be successful?

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* Further Collaboration
Is there any way that having these principles, definitions, and practices in place could be helpful for your organization? We're happy to chat about or support your next steps.

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