The Gilbert Center: Prospective Client Survey

The Gilbert Center
Good Ideas, Good Communication, Good Work

Prospective Client Survey

The information asked for on this form will help us to better understand you as a possible client. Please fill in as much information as you can. Only the first few items are required, but all of them will be helpful to us.

First Name:

Last Name:

Email Address:

Telephone number:

Your Time Zone:

Your Preferred Contact Method:*

Phone

Organization Name:

Organization URL:

Relationship to Organization:

Job Title:

Type of Organization:

Type of NPO you are, or that you work with:

Arts/Culture and Humanities
Civic/Community Development
Civil Rights/Social Action/Advocacy
Education
Environment and Animals
Foundation/Funding
Health
Human Services
International/Foreign Affairs
Legal Services
Mutual/Membership Benefit
Public/Societal Benefit
Religion Related
Other

How many staff members in your Organization?

Areas of Interest:

Communication Planning
Communication Research
Email Strategies
Evaluation
Knowledge Management
Management Systems
Online Marketing
Organizational Learning
Organizational Transitions
Technology Planning
Technology Requirements

How did you hear about us?

Additionally, please tell us more about the goals you have in mind, how they relate to your organization as a whole, and your own role in these goals: