FULCRUM ADVENTURES CLIENT INFORMATION FORM
Please take a few minutes to answer the questions below to help Fulcrum Adventures profile your company or organization and help us decide what program is best suited for you. We will get back to you with an outline as soon as possible.
1.
Which type of programs are you interested in?
Leadership Training
Team Building
Ropes Courses
Other:
2.
In what areas are you seeking improvment?
Customer Service
Effective Decision-making
Communication
Conflict Resolution
Setting and Reaching Goals
Relationship Building
Behavioral Styles
Innovation / Improvisation
Clearly Defining Objectives
How to handle Falure
Collaboration
Principles / Values
Stimulating Creativity
Managing Change
Other:
3.
How many participants do you expect to attend?
4.
When would you like to schedule your training?
5.
How many days and/or nights?
6.
What is your preference? On-Site? Off-Site?
7.
In what type of programs has your group previously engaged?
8.
What else would you like us to know about your group?
9.
Contact Information
Your Name:
(required)
Company Name:
(required)
City:
State:
Select a State
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Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
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Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Phone Number:
Email Address:
(required)
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