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Intake Questionnaire

Welcome. How can I help you?
Hello, I am Daryl Landau, my consulting business is Common Ground.  This will take just five minutes and will save us both time (maybe cost) and provide you some information to FAQs as you go.  It will send me the response so I can follow up.  If you don't hear from me within 24 business hours, please contact me directly.

Or if this questionnaire is not to your liking, you can contact me via e-mail or voicemail (see my website).

The answers to your questions will determine which next questions to ask you.

My policy on Confidentiality:  I do not promise to keep all this information secret from other people we will involve in our process, should we proceed.  But I will take any request for confidentiality seriously; at this point, I am not asking for much private information.

I do promise it will be confidential from anyone not involved in our process.
1. Are you contacting me on your own behalf, or on behalf of someone else?
4. What's your situation?
6. Are you seeking...?