Sign up for Coaching

First and last name

Phone

Date of birth (exact date, hour and place)

City and Country of Residence

Current Occupation/Title

Business Name (if applicable)

Website or Social Media Links (if applicable)

Describe Your Current Business or Business Idea:

What stage is your business in?

Idea/Concept Stage

Startup

Established Business

What are your core values or mission for your business?

Why are you interested in the Conscious Business Program?

What challenges are you currently facing in your business or career?

What specific outcomes do you hope to achieve through this program?

Do you have prior experience with mindfulness, conscious leadership, or similar practices?

Yes

If yes, please describe your experience.

What skills or knowledge areas are you most interested in developing?

Are you able to dedicate the time required for the program?

Yes

Preferred Program Format:

Fully Online

Hybrid (Online + In-person meetings)

Is there anything else you would like us to know about you or your business?

Agreement

I have read and agree to the program’s terms and conditions and I understand that this program is not a substitute for professional legal, financial, or medical advice.

Consent and Acknowledgement

The administrator of your personal data is the Healing Institute Foundation, registered with the District Court for the City of Warsaw in Warsaw, XIV Economic Division of the National Court Register, located at ul. Szamocka 10c/50, Warsaw 01-748, VAT ID: 5253002902, KRS: 0001104388, REGON: 528621437. We will process your personal data solely for the purpose of responding to your inquiry. The legal basis for processing your personal data is the pursuit of our legitimate interests in communicating with users of the website. We will process your personal data for no longer than necessary to provide a response. After this period, we may continue processing your personal data solely for the purpose of defending or pursuing potential claims until they expire. We are entitled to share your personal data only with three groups of entities: Authorized persons – our employees and collaborators who need access to the data in order to perform their job duties. Data processors – external companies to which we outsource activities that require data processing, e.g., IT management of the website server. Other data recipients – as required by law or as necessary to take action in accordance with your wishes. Providing your personal data is voluntary, but it is necessary for us to respond to your inquiry. You have the right to request access to your personal data, their rectification, deletion, or restriction of processing, as well as the right to object to processing, the right to data portability, and the right to lodge a complaint with a supervisory authority.

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