Name * First Name Last Name Email * Phone (###) ### #### Subject * Your Company or Podcast Name * How did you find out about Nadia? Date of your event/workshop/podcast? Where exactly is the event/workshop? Type of speaking engagement Live Keynote Presentation (45-90 min) 30-60 min Podcast Zoom Keynote Presentation Type of Event Big Business Focus What presentation would you like Nadia to deliver? Does your event/workshop have a central theme? If so, what is it? What is the expected size of the audience? Has this type of event been run before? Describe the target audience? How much knowledge does the audience have of Depth-Psychology, Nervous System Healing & Somatics? What are the top three messages you want the audience to receive? What is your budget for securing Nadia as a speaker? If podcast, what platform do you wish to use? Is there anything else you wish to tell us about this opportunity? Thank you!