Request Crisis Support

First Name *

Last Name *

Phone *

Pease provide the mobile number you can be reached at

Email *

Title

Organization/Company Name

Website

I understand that the information I provide will be kept confidential, will not be shared with third parties, and will be used solely to support my session with Charles Communication Group, except as required by law. *

I have read and understand CCG's confidentiality commitment.

Please provide a brief overview of the situation requiring support. *

When did the situation begin? *

What is your most immediate concern? *

Which of the following best describes the issue? *Select all that apply

Has the organization issued any public statements regarding this issue? *

Yes

In progress

Select one

Have you been contacted by reporters or media outlets? *

Yes

Unsure

Select one

If yes, please provide any relevant details.

Who are the primary stakeholders impacted by this situation?

How urgent is this matter? *

Immediate (Within 24 Hours)

High Priority (Within 48 Hours)

This Week

Other

Select one

Are there any upcoming deadlines, announcements, meetings, hearings, media interviews, or events related to this issue? *

Yes

Select one

If yes, please provide details.

Preferred Meeting Dates *

1
2
3

Supporting Materials: Upload any relevant statements, media inquiries, news coverage, social media posts, screenshots, internal communications, legal documents, or background information for review prior to the session.

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PDF, DOC/DOCX, XLS/CSV, JPG/JPEG, PNG, GIF Advance materials help maximize session time and allow Dr. Charles to provide more informed and effective guidance.

Is there anything else Dr. Charles should know before reviewing your request?

I understand that this session is designed to provide strategic communications advice and recommendations. If implementation, strategy execution, or ongoing support is needed, Charles Communication Group can provide those services through a separate engagement. *

I have read, understand, and agree to the terms of this advisory service.

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