2026 Shamanic Arts Immersion Application

Shamanic Arts Immersion
Name

First NameLast Name
Please use an email that you check on a regular basis, this is where all our communications will be sent.
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Are you presently practicing in a spiritual tradition? If yes, please share a little about your beliefs and practices.
What are the top 5 things you want to focus on in this course?
What are your expectations for the outcome of study in Shamanic Arts?
Do you have any concerns or fears about this course?
What kinds of courses, workshops, ceremonies, etc. have you experienced, if any?
Are you willing to commit to daily practices to help deepen your understanding?
Please rate the following areas of your life on a scale of 1 to 5. I is struggling and 5 is complete happiness.
Family

1

2

3

4

5

1 is Worst, 5 is Best
Relatives

1

2

3

4

5

1 is Worst, 5 is Best
Inspiration

1

2

3

4

5

1 is Worst, 5 is Best
Work

1

2

3

4

5

1 is Worst, 5 is Best
Passion

1

2

3

4

5

1 is Worst, 5 is Best
Sexual Intimacy

1

2

3

4

5

1 is Worst, 5 is Best
Mental Health

1

2

3

4

5

1 is Worst, 5 is Best
Emotional Health

1

2

3

4

5

1 is Worst, 5 is Best
Physical Health

1

2

3

4

5

1 is Worst, 5 is Best
Spiritual Health

1

2

3

4

5

1 is Worst, 5 is Best
Finances/Prosperity

1

2

3

4

5

1 is Worst, 5 is Best
Home Environment

1

2

3

4

5

1 is Worst, 5 is Best
Friendships/other relationships

1

2

3

4

5

1 is Worst, 5 is Best
Play

1

2

3

4

5

1 is Worst, 5 is Best
Are there any other specific questions you have or anything you would like to share with me about the Shamanic Arts course?
Are you willing to dedicate time, energy and effort to your practices between our in-person sessions?
In order to help me prepare a focused plan, please indicate if you have ever had any of the following:
Neurological conditions
Cardiovascular conditions
Cancer
Digestive condition
Blood or lymphatic conditions
Allergies
Phobias
Addictions of compulsions
Depression
Reproductive conditions
PTSD
Eating Disorders
Self harm or suicidal ideation
Trauma from violation, violence or catastrophic event
ADD/ADHD
Any other significant condition diagnosed or undiagnosed?
Do you have any questions about the Shamanic Arts course?
I, First Name Last Name , acknowledge my choice in pursuing spiritual studies and practices with Robbie Warren in full awareness that she is not a medical practitioner, and that she cannot render diagnosis or medical advice. Robbie may recommend me to seek a medical professional to safely address some symptoms. I acknowledge my responsibility to follow through on recommended medical care.
Date
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