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ORGANIZATION INFORMATION
Primary Contact Name
*
Title / Role
Company/Organization Name
*
Email
*
Phone
*
Industry / Sector
Organization Size
TRAINING INTEREST
Which program(s) are you interested in?
*
Tier 1: Awareness & Foundations
Tier 2: Trauma-Informed Leadership
Tier 3: Organizational Integration
Executive Coaching Track
Custom Workshop or Keynote
Unsure - Please guide us
Preferred Training Format
*
In-Person
Virtual
Hybrid
Estimated Number of Participants
Preferred Timeframe (Month/Quarter)
*
GOALS & CONTEXT
What are your primary goals for this training? (e.g., improve retention, strengthen empathy in leadership, support neurodivergent employees, etc.)
*
Have you offered mental health or DEI-related training before?
No
Yes (If yes, please explain briefly.)
Other
Yes, we have offered mental health or DEI-related training.
How did you hear about Whole Heals?
*
SUBMISSION
I acknowledge that this form is for training inquiries only and does not confirm a booking. (Please put your full name in the box below.)
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REQUEST TRAINING CONSULTATION
Please complete the form below to share more about your organization’s goals and needs.
A member of our team will contact you to schedule a discovery call and design a customized path forward.
PREPARING TO LAUNCH IN 2026
Home
Mission
Buy The Book
Speaking Events
Trauma-Informed Training
Leadership Training
Organizational Audit
Media Access
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