Company Name

Please include your location

Contact Name

Email

Name of the team or group we'll be working with

Level/type of team? (executives, senior managers, managers, marketing, sales, customer service, IT, finance, HR, etc.)

Approximate number of participants

Your preferred date and time of day

General Age Group

Are there any health or physical considerations that we should be aware of?

What is the purpose of this event?

What do you want to accomplish through this event?

Are there any challenges or problem areas you would like us to help address, overcome or improve upon?

What events have you done in the past that you have found successful or well received by the team?

Have you had any negative experiences in the past? If so, what could/would have been different and better?

Time Budget

Monetary Budget

Please list any other important information about your team you would like to share to help us in designing the best program for you