* 1. Your name

* 2. Your email address:

* 3. Title

* 4. Organization

* 5. Phone number (optional)

* 6. Does your organization currently have a crisis communication plan?

* 7. Type of organization

* 8. The following will help us understand the scale of your organization. Select as many as apply.

  More than 20,000 employees Between 5000 and 20,000 employees Between 500 and 5000 employees Under 500 employees
Publicly traded
Privately held
Single owner
Global market
National market
Local/Regional market

* 9. What interests you about the Agincourt Gap Analysis Tool?

* 10. Please tell us anything more about your organization and your expectations for this Gap Analysis that will help us identify the experts best suited to assist you.

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