Consulting Request & Contact Information for Dr. Roger Evans

Contact Information:

Roger W. Evans, Ph.D.
2251 Baihly Hills Drive Southwest
Rochester, Minnesota 55902-1311
(507) 281-0886
roger@evans-health.com

Consulting Request Form [download PDF]


Name:
Organization:
Phone:
E-mail:
Scope of Work: (Briefly describe what you would like me to do.)


Priority: (How would you describe the assignment you would like me to consider?)
		Urgent priority
		High, but not urgent priority
		Routine priority
		Low priority
Time Required to Complete This Assignment: (How long do you think it should take me to perform the work required to complete the proposed assignment?)
		Hour(s)
		Day(s)
		Week(s)
		Month(s)
		Year(s)
		I have no idea
Deadline for Completion: (Within what time period must the assignment be completed and the results reported to you?)
		Hour(s)
		Day(s)
		Week(s)
		Month(s)
		Year(s)
		At this time I am not sure
Communication of Results: (How do you want me to communicate the results of my work to you?)
		Verbal report by telephone
		Verbal report in person
		Written report
		Written report, plus verbal report provided by telephone
		Written report, plus verbal report provided in person
		At this time I am not certain as to what would be best

Note: If you do not want to complete this form, please address each of the topics in a letter, e-mail or in the printed PDF version of this form.