Work Decoded — Client Intake Form

Welcome! Please complete this form before your session. Your responses are confidential and will only be shared with your assigned Work Decoded consultant to ensure they arrive fully prepared to support you.

Your information

First name *

Last name *

Email address *

Phone number

State of residency *

Are you 40 or older? *

Yes No

Helps us flag age-related workplace protections that may apply.

Your employment information

Employer name

Job title *

Industry *

Are you a member of a labor union? *

Your workplace situation

Please tell us about your situation in detail *

0/3000

Confidential — only shared with your assigned consultant.

How urgent is your situation? *

Have you already spoken with HR about this? *

Are you on a PIP or have you received a formal performance warning? *

Have you been documenting the situation? *

Session selection

Select your consultation type *

STANDARD

$100per session · 30 min

Everyday workplace guidance — wage and hour violations, job misclassification, promotion, benefits (leave, disability, accommodations, etc.), preparing for conversations with HR or management, and building healthy work-life boundaries.

Schedule within next 10 business days
3-session pack: $270 (save 10%)
5-session pack: $450 (save 10%)

PREMIER

$125per session · 30 min

Support for complex, high-stakes situations — severance, transition agreements, separation agreements, discrimination, harassment, hostile work environment, retaliation, whistleblowing, workplace investigations, performance management (PIP, demotion, probation), and salary negotiation.

Schedule within next 10 business days
Document review included
Priority scheduling
3-session pack: $337.50 (save 10%)
5-session pack: $562.50 (save 10%)

Within 24 hours

CRISIS

$175per session · 30 min

When you need answers now. Connect with a consultant within 24 hours for urgent, time-sensitive situations that can't wait.

Today + next 2 business days
Document review included
Priority scheduling

Session packages — save 10%

Packages are billed upfront at a discounted rate. Sessions do not expire.

Not sure which tier fits your situation?

Book a free 15-minute Discovery call to talk through your situation and get matched with the right consultant.

1 session selected

Choose your date & time *

All times are shown in Eastern Time (ET). Sessions are available Monday through Friday, 9:00 AM – 5:00 PM.

Any scheduling constraints we should know about?

Optional — helps us if your preferred time doesn't work.

Required agreements & consent

✓

You're all set!

Your intake form has been submitted and your session is booked. You'll receive a calendar invite at your email shortly. If you need to reschedule, contact support@workdecodedhq.com.