Please fill out the form and give us an idea of your health history and current goals. We will call you to go over your submission, and see if this is the program that will work for you!
Click the button below to start.
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Full address, including city, country and codes.
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Age and occupation
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Have you explored any somatic modalities in the past such as yoga, Mitzvah, Pilates etc? If so, what is your favorite modality to practice and why is it your favorite?
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Do you have a daily/weekly practice? If so, please tell us about it.
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What are your personal goals in working with the Somatic Stretch training program?
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Are you wanting to join for personal or professional reasons?
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Are you currently a teacher? If so, for how long and how many classes a week or month do you teach?
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What are your goals as as teacher if you become certified?
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From a student’s perspective, what qualities do you think make a great somatic educator/ teacher? Tell us about your favourite teacher and why s/he impacted you
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Are you currently taking any medications? if so, please list them and the condition you are treating.
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Are you, or have you been, under medical treatment for any physical or psychological condition? If so, please provide a detailed description.
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Are you in addiction recovery, and if so, for how long?
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Do you have any physical conditions, surgeries or injuries? If so, please describe
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Kudos for taking a powerful step on your own path of personal healing!
Is there anything else you would like to tell us?