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General Client Services Questionnaire
The Executor & Associates
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General Client Services Questionnaire
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Organization Name and Type
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Name
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First
Last
Title
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Phone number
Email
*
Preferred Contact Information
*
Phone
Email
What service(s) are you inquiring about?
*
Crisis Management & Media Handling
Image Consulting & Rebranding
Strategic Negotiation & Conflict De-escalation
Digital Threat Forensics
Executive Branding & Coaching
Trainings & Simulations
Brief description of your current issue or objective
Level of urgency
Routine
Urgent
Immediate
Have you worked with a crisis or reputation firm before?
Yes
No
Are legal proceedings or media inquiries already underway?
Yes
No
preferred method &
What is your preferred method of communication? !!!!
Phone
Email
How did you hear about The Executor & Associates?
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