Group coaching application form

Namaste

-Damini Gallagher

Name *

First

Last

Contact Number with Country code *

Email *

What is your current state of wellbeing? *

What is your desired state of wellbeing? *

Why are you interested in this group programme? *

Is there a relationship between how you feel and what goes on in the world? *

Do you have any spiritual and wellness practices already in place? If yes, please explain! *

How many hours a day you can dedicate to your wellbeng? *

Do you have any mental health issues, that could impact your ability to participate in group environment. *

Are you Physically, mentally, emotionally and financially able to commit to this offering? *

I understand that deep transformation can be an uncomfortable and intense at times. You will be supported, but you have to commit.
I take pride in being guided by intuition and explore what present moment brings . That means, even though I have provided structure, group can morph based on what comes up in collective field.