Expression of Interest – Advanced Coffee Enema Training
Thank you for your interest in the Advanced Coffee Enema Training at Kaya Colonics & Wellness Centre. Class sizes are intentionally kept small to provide personalised mentoring and hands-on practical experience. Please complete the form below and we'll contact you to discuss the course, answer your questions, and advise the next available training date.
Your Details
Full Name
*
First Name
Last Name
Mobile Number
*
-
Area Code
Phone Number
Email Address
*
example@example.com
Address
*
Occupation
Which best describes you?
Please Select
Health professional
Wellness practitioner
Colon hydrotherapist
Student / in training
General interest / personal use
Other (please specify)
Other (Professional Background)
Your Experience
Have you ever performed a Coffee Enema?
Please Select
Yes, on myself
Yes, on others
Yes, both on myself and others
No, never
Other
Have you completed any Colon Hydrotherapy training before?
Please Select
Yes
No
Where did you train?
Your Goals
Why are you interested in this course?
To deepen my knowledge of coffee enemas
To support my existing wellness/health practice
To add a new service to my business
For personal health and self-care
To explore a potential new career direction
Other (please specify)
Other (Interest Reason)
What do you hope to gain from this training?
Course Information
When would you like to attend?
Please Select
As soon as possible / next available date
Within the next 3 months
Within the next 6 months
I’m flexible / happy to be contacted about future dates
How did you hear about us?
Website
Social media
Referral from practitioner
Friend / word of mouth
Existing client of Kaya Colonics & Wellness Centre
Other (please specify)
Other (How did you hear about us?)
Questions
Do you have any questions before enrolling?
Consent / Declarations
I understand this is an Expression of Interest only and does not secure a training place.
*
I understand this is an Expression of Interest only and does not secure a training place.
I agree to be contacted by Kaya Colonics & Wellness Centre regarding training opportunities.
I agree to be contacted by Kaya Colonics & Wellness Centre regarding training opportunities.
Submit Expression of Interest
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