Application Form

Triple Vagal Method Training Application through Tailored Somatic's

Held April 2025 in Victoria BC, Canada
Legal Name*

First NameLast Name
Preferred Name
Pronouns
Date*

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Date
Email*
example@example.com
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Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
1. Tell me a little about yourself. What’s your current occupation and why are you interested in somatic therapy, specifically TVM?*
(I’d love to get to know you better. What calls you to this work, and what makes you passionate about it?)
2.Have you partaken in any trauma healing yourself? Trainings, retreats, psychotherapy or psychiatric therapy? Tell me about your healing journey, if youre on one. *
No prior experience is required, but I’d love to understand your background.
3. How do you currently manage stress or challenging emotional experiences? What are your coping mechanisms?*
4. Do you have any mental health diagnosis that are important for me to know? (I.E. attempted suicide, bipolar, psychosis, anxiety, BPD, ADHD, autism)?*
5. Tell me about your values & morals, how you move through this world & what standards you hold yourself & others to*
I want to know what you're passionate about, what you value you most in yourself & others, may it be honesty, trust, reconciliation, authenticity, being in service of others. Whatever your moral compass is, please share
YesNoMaybe, I need more information
7. Do you have any triggers you are aware of? During this training, sensitive and potentially disturbing topics may be discussed. Do you feel confident you will be able to manage in a container where these subjects may arise? And if you get triggered, how will you resource yourself?*
8. Are you prepared to invest time, effort, and financial resources (3,500 CAD) into this training and your personal growth? From 1-10, 10 being the most ready, where do you sit? *
9. How do you approach learning and integrating new skills? What kind of learner are you? *
(I’d love to know if you’re a hands-on learner, visual learner, or auditory learner.)
10. Are there any ailments or allergies I should be aware of that may require additional support during this training?*
(This will help me ensure that I provide the necessary care and accommodations to support your learning journey.)
11. The curriculum and training dates are subject to slight change. Are you flexible and open to any adjustments in the schedule?*
(I value flexibility as things sometimes shift.)
12. What are you hoping to gain and walk away from this training with?*
(This question is to tap into your excitement about the transformational journey ahead.)
13. Do you have any questions for me? Or anything else you feel like sharing? :}
Yay! Thank you so much for your application! I will get back to you within 1-3 business days with all the information and the next steps to you becoming a TVM practitioner. :)

Big love!
Tai
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Triple Vagal Method Training Application through Tailored Somatic's