Confidential HR Profile Form

Please complete this form to the best of your ability. This will help me prepare for our discussion with you about your HR needs. All information you provide is confidential. Thank you!

A special note: While I would love to work with every small business, at this time I am working only with California companies.

Title	Dr Mr Ms
First Name
Last Name
Email Address
Company
Work Address
City
State
Zip Code
Work Phone Number
Number of Employees
Years in Business
Number of Supervisors
Current HR issues or concerns
Your HR knowledge	1 - No knowledge at all 2 - A little knowledge 3 - Think I know what I'm doing but not sure 4 - Have had help with my HR compliance 5 - Know a lot about HR but still want help
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