HaveningTechniques® Practitioner Training
Intake Questionnaire
Full Name
First Name
Last Name
Date of Birth
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Phone number
Email
City/Town
Have you experienced Havening Touch® or Techniques before?
YES
NO
If yes, please share how that was for you and who facilitated the experience?
What are the main reason(s) why you are interested in Havening Techniques Practitioner Training?
What is your professional background/ qualifications and/or experience of using psycho-sensory techniques or therapeutic interaction with clients?
How do you hope to use the skills from the Training ?
Are you aware the training is the first of two steps towards full certification?
Yes
No
What days of the week are your training preference? (Not guaranteed but good to know).
What is your training intention?
Do the Training Workshop only.
Do both the Training Workshop and the Mentoring pathway towards Certification
Unsure. I am looking at the Training first then will see.
Any other questions?
Thank you for taking the time to fill out this form.
Kindly, Clare 😊
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