Testimonial Form — Jack Rome

Share your experience

Hi there! Thank you so much for writing this recommendation based on our work together. This testimonial will go a long way to help me reach folks who can benefit from my support.

Name

First Name

Last Name

Title, Organization or Role (if applicable)

How has Jack been able to support you?

What are Jack’s greatest strengths in his role?

Have you made discoveries about yourself throughout our work together? If so, what are they?

Consent To Share

Do you consent to have your answers shared publicly?

Yes • use my answers, name & photo

Yes • use my answers & name only

Yes • use my answers only

Photo Submission

If you have a photo you’d like me to display, please paste a link to it below:

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