Corporate Intake Inform.

Organization Name:

Address (City, State, Zip Code):

Industry/ Sector:

Organization Size (Number of Employees):

Contact Person:

Role/Title of Contact Person:

Contact Email:

Contact Phone Number:

Service Interest:

Neurodivergent Employee Training

Corporate Consulting

Group Coaching Sessions

Other Services

(Please specify):

Briefly describe any specific challenges your organization is facing that prompted you to seek our services (e.g., diversity and inclusion initiatives, communication issues, team dynamics, understanding and supporting neurodivergent employees).

What are the main objectives you hope to achieve through our services? (e.g., improve team communication, create a more inclusive work environment, enhance leadership skills)

Please list any previous initiatives or programs your organization has implemented related to mental health, neurodiversity, or employee training. What were the outcomes?

Please provide any relevant demographic information about your employees that you feel is pertinent to our services (e.g., percentage of employees who identify as neurodivergent).

Preferred dates/timing for initiating services:

Are you interested in in-person, virtual, or hybrid services?

Any specific logistical requirements or limitations?

Please provide any other information or specific areas of focus you believe are important for us to know in order to tailor our services effectively to your organization.

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Corporate Intake Inform.

Coaching

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