Name
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First Name
Last Name
Email
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Phone Number
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1. Provide an overview of your training, qualifications and relevant experience
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2. What draws you to nervous system training, and why do you want to train with me in particular?
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3. What kind of learning style do you think you have? e.g., visual, auditory, verbal, reading/writing, kinesthetic?
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4. The training is experiential and you will transform personally as well as professionally. It includes individual sessions to help you embody the practices you are learning, and additional 1:1 support is available. What support do you currently have? What other support might you need?
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5. On a scale of 1-5, with 1 being 'Never' and 5 being 'Always', do you have trouble with timekeeping and usually arrive more than 5 minutes late for classes/appointments?
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1 - Never
2
3
4
5 - Always
6. Following the same scale, how self-motivated are you, or do you need to be held accountable?
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1 - Never
2
3
4
5 - Always
7. What have you learned from your previous experiences of learning (especially online study) that will help you succeed in this program? What support and resources might you need from me/the group to ensure your success?
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8. The REST practitioner training is a low five-figure investment in your future as a practitioner. How willing and able are you to invest in professional development and training right now?
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I have the necessary financial resources set aside to invest
I have the ability to GET the financial resources to invest
I have limited financial resources and I can’t prioritise investment at this time
9. Is there anything else you would like me to know?
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