Embodied Medicine training application form

Thank you for taking the time to fill out the application for the EMBODIED MEDICINE 12 month online Facilitator Training.

This application is for me to get to know you better, please answer honestly + openly.

It is less about how far along your path you are + more about your why + your desire to join that I am curious about.

I will been touch within 2 working days to book in a call for us to get to know each other + discuss any questions you may have for me.

Name

First Name

Last Name

Date + time + location of birth for human design + astrology

What has drawn you to this training?

Will this be your first Facilitator Training/Teacher Training in the Spiritual/ Wellness world?

Where are you on the road of Embodiment? Have you some experience, is it a brand new field for you?

Have you ever received any coaching or mentoring before? What was your experience?

What is your deeper why for stepping into this training? Where do you desire it takes you in the future?

Are you currently getting/ have recently had or planning to get any cosmetic surgeries or treatments in the next 12 months? If yes, please can your share below when your last treatment was + how often you get them? (this includes Botox + Fillers)

Is there anything about your health or your past experiences that you feel I need to know at this point?

The fee for this training is £4400 (£3900 before 31st May), how would you like to pay?

I'd like to secure your my space with a £650 non refundable deposit

Pay in full

I'd like to take advantage of the 18 month payment plan (please note this option is only available until the 31st May)

12 month payment plan

Other

If you stated other in the above section please state how you would like to pay (please state N/A if not applicable)