Name
*
First Name
Last Name
Email
*
Phone
(###)
###
####
Are you reaching out as an individual or on behalf of an organization?
Organization Name (if applicable)
How many participants from your organization or event? (if applicable)
1-10
11-49
50-99
100-250
251 +
Preferred consultation format
Virtual (Zoom, Teams)
In-person
Hybrid
Preferred consultation schedule
Weekdays
Weekends
Flexible
Have you read the book?
Yes, fully
Yes, partially
Not yet
Have you attended a workshop or presentation?
Yes, multiple times
Yes, once
Not yet
How familiar are you with AI tools like ChatGPT?
Very familiar
Somewhat familiar
Curious but unfamiliar
Not familiar
What do you currently use AI for?
Which aspects of the Cyborg Mindset are you most interested in?
What are your top 3 personal and professional goals for the next 6-12 months?
What challenges are you facing that you hope the Cyborg Mindset can address?
Which AI interface do you use most frequently to engage with tools like ChatGPT or other AI platforms? (Select all that apply)
What else should we know to better assist you?
