Full Name^*

Business Name^*

Email Address^*

Phone Number^*

Location (Town / County)^*

Website and Social Media Links^*

Which services do you currently offer?^*

Please briefly describe your services.^*

Professional Qualifications and Certifications^*

Which groups would you most like to support?^*

If you could choose your ideal audience, who would it be and why?^*

Are there any specific organisations you would love to work with?^*

How do you currently deliver your services?^*

Are you willing to travel?

Typical Session Length^*

General Availability^*

Have you previously delivered services to organisations or groups?^*

If yes, who have you worked with?^*

Are you comfortable delivering presentations or workshops?^*

Are you comfortable collaborating with other professionals if needed to?^*

Please outline your typical Hourly Rate?^*

Please outline your typical Half Day Rate?^*

Please outline your typical Full Day Rate?^*

Please outline your typical Online Session Rate?^*

What are your biggest challenges when trying to secure new opportunities?^*

What type of opportunities would you like Flexitime to help you access?^*

What would make joining Flexitime worthwhile for you?^*

Is there anything else you would like us to know?^*