PRE-EVENT QUESTIONNAIRE 


We're thrilled you're interested in having Jessica Cooper speak at your conference, retreat or workshop! With over 12 years of ministry experience & 15 years of experience in clinical therapy & social work, Jessica will educate, inform and transform your audience. Please completely fill out the form below and submit. Having trouble or got questions? Contact our team at [email protected].

Company, Church or Business Name
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Event Title
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Tell me more about the Event: (City, State, Venue, Date)
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How many people will be attending?
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What Date and Time Would Jessica Speak?
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What exactly would you like Jessica to do?
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How long would the presentation last?
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Tell us briefly about the event, it's purpose and demographic of the attendees:
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What is your speaker fee budget?
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Would you like for Jessica to do a book signing at the event?
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Please provide your contact information (Name, Title, Address, etc.)
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Is there anything else you'd like for us to know?
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