Speaker Request Form - Third Opinion MD

Schedule a call to discuss Barbara speaking at your next event

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 Speaking Event Questionnaire

 

Thank you for your interest in having Barbara speak at the event you are planning. 

 

Below are a few questions to start the conversation so I can best help you determine if I would be a good fit for your audience with one of my presentations.

 

Be Well,

 

Barbara

 

What is the date of your meeting or event?

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Location of your event:

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How did you hear about Barbara  de la Torre?

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Do you have a theme for the meeting or event?

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What kind of presentation are you inquiring about? (check all that may apply)

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What is the goal or outcome you'd like to accomplish by having Barbara speak?

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Is there a particular presentation of Barbara's you have in mind?

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Please indicate your budget range for speakers:

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Please provide the best contact phone number with area code.

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Is there anything else you would like to add?

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