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Consultation Request Form

How long has this situation been affecting your work?
1-2 weeks
2-4 weeks
1-3 months
3-6 months
6 months or longer

Describe the situation as objectively as you can. What changed, when did it change, and who is involved?

Have you documented anything so far?
Yes, I have written records
I have some informal notes
No documentation yet
Have you spoken to HR or a manager about this situation?
Yes
No
Informal discussion
What is your primary concern right now?
Protecting my job
Understanding my options
Preparing for an upcoming conversation or meeting
Documenting what's happening
I'm not sure yet

(e.g., a scheduled review, PIP, meeting)

What is your timeline?
Urgent - within 1 week
Soon - 2-3 weeks
Exploring - no immediate pressure
Which service are you most interested in?
Not sure yet - help me decide.
Async document review
Initial consultation
Clarity package
Navigation package
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