Consult request questions

For those of you who like to see questions ahead of time, here are the questions we ask in our consult request form.

If you prefer to work in a document rather than a form, feel free to copy and paste these questions into your own document and upload it. Alternatively, you can submit an audio or video response, or you can request a 15 minute call with one of our team who will walk you through the questions and take your information.

The consult request form allows for these options once you have provided your contact information and organization details in the first two sections.


A: Your contact information:

a. What is your first name?*

b. What is your last name?*

c. What is your email address?*

d. What is your phone number?*

e. What is your LinkedIn profile (optional)?


B: Organization details:

a. What is your organization’s name?*

b. What is your organization’s website?

c. What is your title or role at your organization?*


Would you like to (select one)*:

  • Continue providing information via this form

  • Submit an audio or written response to the questions by uploading a file

  • Request a 15 minute call with one of our team who will walk you through the questions and take your information


C: Current situation:

a. What specific challenges led you to seek DEI consulting?*

b. We work with organizations in all kinds of situations, but have identified three of the most common that we are ideally suited to work with (see work with us). Which situation best describes your organization? (Select all that apply)

  • We have Black women/BIPOC leaders facing “glass cliff” situations (promoted to leadership during crisis or organizational strain)

  • Our internal DEI team needs additional support and resources

  • Our BIPOC and marginalized staff members are experiencing challenges

  • Other (please describe): ____

c. What obstacles have you recently encountered in addressing these challenges?*

d. How long has your organization been working to address these challenges? (Select one)*

  • Just starting

  • Less than 6 months

  • 6-12 months

  • 1-2 years

  • More than 2 years

e. What does success look like for your organization? What specific outcomes would you hope to achieve through this work?*


D: Commitment assessment:

a. When would you like to start? (Select one)*

  • Not sure yet

  • Immediately - urgent situation

    • Our urgent crisis situation is as follows:

  • Within 3 months

  • 3-6 months from now

  • 6-12 months from now

  • Other (please specify date): ____

b. On a scale of 1-10, how ready are you personally to invest time, effort, and resources in this work? (1 = not ready, 10 = fully committed)*

c. On a scale of 1-10, how ready is your organization to invest time, effort, and resources in this work? (1 = not ready, 10 = fully committed)*


E: Additional information:

a. How did you learn about our services?*

  • Referral

    • Could you let us know who referred you so we can thank them?

  • Social media

  • Web search

  • Professional network

  • Event/conference

  • Other: ____

b. Do you have any additional comments or questions? (optional)