Basic Information

Please note that the fields regarding demographic information are entirely optional. Yejin of Jeong Coaching & Consulting LLC only uses this information to calibrate her equity-informed approach to coaching, consulting, and facilitation work. This data is not shared with any other person or entity. 

Question Title

* 1. Your Name

Question Title

* 2. Your Pronouns

Question Title

* 3. Your Email Address

Question Title

* 4. How did you hear about Yejin and her equity & justice services?

Question Title

* 5. [Optional] Name of Organization

Question Title

* 6. Your Race (please self-describe)

Question Title

* 7. Your Gender (please self-describe)

Question Title

* 8. Other Identities that Matter Most to You

Question Title

* 9. Please select which service you are interested in

T