WA SPEAKS SPEAKING ENGAGEMENTS

Your Message is Powerful!

Please confidentially share the impact of your message with us. Use this form every time you speak in your community about behavioral health recovery, resilience, and hope so we might continue to carry the message that people can and do recover.

Question Title

* 1. When did you speak?

Date

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* 2. What is your name?

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* 3. What topic did you speak about?

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* 4. What is your contact's name and email address or phone number at the organization where you spoke?

Name

Organization

City/Town

State/Province

Email Address

Phone Number

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* 5. Was the engagement in-person; virtual; or both (hybrid)?

In-person

Virtual

Hybrid

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* 6. About how many people heard your message?

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* 7. Did you receive a stipend or compensation for speaking?

Yes

WA SPEAKS SPEAKING ENGAGEMENTS

Your Message is Powerful!

Question Title

* 1. When did you speak?

Question Title

* 2. What is your name?

Question Title

* 3. What topic did you speak about?

Question Title

* 4. What is your contact's name and email address or phone number at the organization where you spoke?

Question Title

* 5. Was the engagement in-person; virtual; or both (hybrid)?

Question Title

* 6. About how many people heard your message?

Question Title

* 7. Did you receive a stipend or compensation for speaking?

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* 8. Would you speak again; why or why not?

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* 9. What feedback did you receive, if any?