Name * First Name Last Name Email * Phone (###) ### #### Name & description of organization that you are representing * What is your position at your organization? Where are you currently located (City, State in US/if outside of US, list country) What inspires you to apply for organizational nervous system & leadership coaching at this time? What are you hoping group coaching will accomplish? Please list your organization's experience in engagement with any previous healing modalities (therapy, coaching, group work, yoga, etc) What is your level of familiarity with the nervous system and the subconscious? How do you believe Nadia can help you achieve your goals? What is going well within your organization? What does your team do well? What are you noticing that your team may be struggling with and/or lacking? What does leadership mean to your organization? Are you looking for virtual, in-person or a mix of hybrid work? What is your organization's budget for this work? *Note that each group organization package is custom created based on need and budget Do you have any concerns about this process? Is there anything else you’d like Nadia to consider in reviewing this application? Thank you!