Name

Organization

Title

Email

Phone

Briefly and as specifically as possible describe your reason (i.e., coaching, thought partnership, subject matter expertise) for contacting Donia.

Please state the outcome you want to achieve in an engagement with Donia. In other words, what does a successful collaboration look like?

What is the current state of the work/project? Include opportunities, strengths, challenges, and weaknesses.

Please list key internal and, if applicable, external stakeholders to this work.

What is your timeframe for completing this project or engagement?

Please share any additional information that you think may be helpful to Donia as she considers the best way to support your efforts.

Sumbit