Executive Engagement Inquiry

Thank you for your interest in an executive leadership session.

This form is designed to ensure alignment in scope, audience, and expectations before scheduling a conversation.

Please provide concise, structured responses. Clarity allows for a more efficient next step.

Organization Name

Organization Website

First name

Last name

Your Title

Phone

1. Brief description of your organization

2. Type of engagement requested

Keynote presentation

Executive working session

Half-day leadership intensive

Not yet determined

3. What challenge or theme is prompting this request?

5. Estimated audience size

6. Proposed event date or timeframe

7. Format

In-person

Virtual

Hybrid

8. Event location (if in-person)

9. Budget range allocated for this engagement

$5,000–$7,500

$7,500–$10,000

$10,000+

Not yet allocated

Engagement Understanding

I understand that executive engagements are structured, strategic sessions focused on leadership load and sustainable performance. This is not a motivational or wellness presentation.

Text Message Consent

I would like to receive updates by text from LYFE Balance, Inc. We’ll be sending you booking reminders, appointment confirmations, and follow-up messages related to your inquiry, registration, or program participation. Message and data rates may apply. Message frequency varies. You can text HELP for help or STOP to opt out at any time.