Consulting Intake | Empower Your Organization—Get Started Now

Your Organization

Organization Name *

Your Name *

Your Title *

Email Address *

Phone (optional)

Website

Organization Type *

Organization Size

What You're Trying to Figure Out

Which consulting engagement are you interested in? *

In your own words, what problem are you trying to solve? * No need to frame it perfectly. Just describe what's not working or what you're trying to build.

What would a successful engagement produce for you? What would you do with the deliverable? Who would see it?

Patient Advocacy — Additional Context

What populations does your organization primarily serve?

What does your current programming look like? Support groups, educational content, advocacy resources, peer navigation — describe what currently exists.

What feedback have you received from the people you serve about gaps in what you offer?

Employer / HR — Additional Context

What does your current accommodation and flexibility infrastructure look like? Formal (FMLA, ADA, written policy) and informal (manager discretion, flexible scheduling) — describe what exists.

Where are you seeing the cost of chronic illness show up in your workforce data?

Attrition — employees leaving that you can't explain Absenteeism — leave usage, absences, medical time off Presenteeism — employees present but visibly struggling Performance inconsistency — variable output, missed deadlines Low disclosure — you suspect more is happening than people are telling you Not sure — I want help naming where to look

What has already been tried? EAP, wellness programs, manager training, flexible scheduling — what's in place and what's not working?

Healthcare — Additional Context

What type of clinical setting is this?

Where are you seeing friction for complex chronic illness patients?

Intake process — repeated information, insufficient complexity capture Referral coordination — specialists not communicating, patients re-explaining Follow-up — inconsistent outreach, patients falling through gaps Patient satisfaction scores — particularly for complex or chronic patients Staff response to medical history of dismissal — we don't have a framework for this Not sure — I want help identifying where the friction is highest

Has your organization done patient experience work before? Previous initiatives, surveys, QI projects — what context exists?

Timeline and Decision

How soon are you looking to start? *

Is budget confirmed for this engagement? *

Yes — budget is confirmed Pending — needs internal approval Still exploring — the scoping call is part of the decision

Who else is involved in this decision? Will anyone else need to be on the scoping call or review the proposal?

How did you hear about this work?

Anything Else

Is there anything you want me to know before the scoping call that doesn't fit the questions above?

What days and times generally work for a 30-minute call? Rough availability is fine — we'll confirm specifics by email.

After you submit, Briana will review your intake and follow up within 2 business days to schedule the scoping call. The call is 30 minutes, no charge, and no commitment required.

Tell me about your organization.

Your intake is submitted.