<div class="cf-form-app"><!-- [et_pb_line_break_holder] --> <script src="https://egorhythm.infusionsoft.com/app/webTracking/getTrackingCode?trackingId=b76c5009298a47e160684dfdfb2de209" type="text/javascript"> </script><!-- [et_pb_line_break_holder] --> <form accept-charset="UTF-8" action="https://egorhythm.infusionsoft.com/app/form/process/76949583c8698214464f6a9230bd203e" class="infusion-form" method="POST" name="request appointment" onsubmit="var form = document.forms[0]; var resolution = document.createElement('input'); resolution.setAttribute('id', 'screenResolution'); resolution.setAttribute('type', 'hidden'); resolution.setAttribute('name', 'screenResolution'); var resolutionString = screen.width + 'x' + screen.height; resolution.setAttribute('value', resolutionString); form.appendChild(resolution); var pluginString = ''; if (window.ActiveXObject) { var activeXNames = {'AcroPDF.PDF':'Adobe Reader', 'ShockwaveFlash.ShockwaveFlash':'Flash', 'QuickTime.QuickTime':'Quick Time', 'SWCtl':'Shockwave', 'WMPLayer.OCX':'Windows Media Player', 'AgControl.AgControl':'Silverlight'}; var plugin = null; for (var activeKey in activeXNames) { try { plugin = null; plugin = new ActiveXObject(activeKey); } catch (e) { // do nothing, the plugin is not installed } pluginString += activeXNames[activeKey] + ','; } var realPlayerNames = ['rmockx.RealPlayer G2 Control', 'rmocx.RealPlayer G2 Control.1', 'RealPlayer.RealPlayer(tm) ActiveX Control (32-bit)', 'RealVideo.RealVideo(tm) ActiveX Control (32-bit)', 'RealPlayer']; for (var index = 0; index < realPlayerNames.length; index++) { try { plugin = new ActiveXObject(realPlayerNames[index]); } catch (e) { continue; } if (plugin) { break; } } if (plugin) { pluginString += 'RealPlayer,'; } } else { for (var i = 0; i < navigator.plugins.length; i++) { pluginString += navigator.plugins[i].name + ','; } } pluginString = pluginString.substring(0, pluginString.lastIndexOf(',')); var plugins = document.createElement('input'); plugins.setAttribute('id', 'pluginList'); plugins.setAttribute('type', 'hidden'); plugins.setAttribute('name', 'pluginList'); plugins.setAttribute('value', pluginString); form.appendChild(plugins); var java = navigator.javaEnabled(); var javaEnabled = document.createElement('input'); javaEnabled.setAttribute('id', 'javaEnabled'); javaEnabled.setAttribute('type', 'hidden'); javaEnabled.setAttribute('name', 'javaEnabled'); javaEnabled.setAttribute('value', java); form.appendChild(javaEnabled);"> <!-- [et_pb_line_break_holder] --> <input name="inf_form_xid" type="hidden" value="76949583c8698214464f6a9230bd203e" /><!-- [et_pb_line_break_holder] --> <input name="inf_form_name" type="hidden" value="request appointment" /><!-- [et_pb_line_break_holder] --> <input name="infusionsoft_version" type="hidden" value="1.48.0.46" /> <!-- [et_pb_line_break_holder] --> <div class="cf-head-h1"><!-- [et_pb_line_break_holder] --> <h1 class="cf-head-h1">Please Complete Your 30-Minute Uncovery Session Pre-Qualification Form </h1><!-- [et_pb_line_break_holder] --> <h3 style="font-size: 12pt;"> If you’re ready to drive growth with professional and business development please fill out these questions and we'll get back to you within two business days: </h3><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_Whatisthebiggestproblemyouseeinyourcompany">What is the biggest challenge you see in your company today? *</label><!-- [et_pb_line_break_holder] --> <textarea required="required" cols="24" id="inf_custom_Whatisthebiggestproblemyouseeinyourcompany" name="inf_custom_Whatisthebiggestproblemyouseeinyourcompany" rows="5"></textarea> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_Whatiskeepingyoufromgettingtheresultsyouwant">What is keeping you from solving these challenges? *</label> <!-- [et_pb_line_break_holder] --> <textarea required="required" cols="24" id="inf_custom_Whatiskeepingyoufromgettingtheresultsyouwant" name="inf_custom_Whatiskeepingyoufromgettingtheresultsyouwant" rows="5"></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"> <!-- [et_pb_line_break_holder] --> <label for="inf_custom_Whathappenswhenyoucannotfixit">What will happen if your organization does not address these challenges? *</label> <!-- [et_pb_line_break_holder] --> <textarea required="required" cols="24" id="inf_custom_Whathappenswhenyoucannotfixit" name="inf_custom_Whathappenswhenyoucannotfixit" rows="5"></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"> <!-- [et_pb_line_break_holder] --> <label for="inf_custom_Whatisyourcommitmentleveltofosteringchangeandimproving">What is your commitment level to fostering change and improving *</label> <!-- [et_pb_line_break_holder] --> <textarea required="required" cols="24" id="inf_custom_Whatisyourcommitmentleveltofosteringchangeandimproving" name="inf_custom_Whatisyourcommitmentleveltofosteringchangeandimproving" rows="5"></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"> <!-- [et_pb_line_break_holder] --> <label for="inf_custom_whitepapercomments">Do you have any comments or questions for Beate?</label> <!-- [et_pb_line_break_holder] --> <textarea cols="24" id="inf_custom_whitepapercomments" name="inf_custom_whitepapercomments" rows="5"></textarea><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-group"><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_FirstName">First Name *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_FirstName" name="inf_field_FirstName" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_LastName">Last Name *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_LastName" name="inf_field_LastName" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-group"><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"> <!-- [et_pb_line_break_holder] --> <label for="inf_field_Company">Company *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_Company" name="inf_field_Company" type="text" /> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_JobTitle">Job Title *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_JobTitle" name="inf_field_JobTitle" type="text" /><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-group"><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_custom_CompanySizenumberofemployees">Company Size (number of employees) *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_custom_CompanySizenumberofemployees" name="inf_custom_CompanySizenumberofemployees" type="text" /> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_City">Location (City) *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_City" name="inf_field_City" type="text" /> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-group"><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_Phone1">Best phone number to reach you *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_Phone1" name="inf_field_Phone1" type="text" /> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <label for="inf_field_Email">Email *</label> <!-- [et_pb_line_break_holder] --> <input required="required" class="infusion-field-input-container" id="inf_field_Email" name="inf_field_Email" type="text" /> <!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> <div class="cf-form-fields"><!-- [et_pb_line_break_holder] --> <div class="infusion-submit" style="text-align: end;"><!-- [et_pb_line_break_holder] --> <button type="submit" value="Submit">Submit</button><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </div><!-- [et_pb_line_break_holder] --> </form><!-- [et_pb_line_break_holder] --></div>