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Vidya Breathwork Facilitation - Application
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Let's get to know you. Name:
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Your answer
Social media your thing?
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Yes. Sure is.
Nope. Not my vibe right now.
Facebook & Instagram Name
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Your answer
Where are you based? + Postal address
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Your answer
Email address
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Your answer
Mobile Number
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Your answer
Why do you want to be part of Vidya Breathwork facilitation?
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Your answer
What experience have you had with Breathwork?
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Your answer
What experience have you had with Healing?
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Your answer
What is your desired outcome from this training experience?
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Your answer
What are your current goals? Personal? Business? Life? Family? Health? Relationships? Money?
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Your answer
What do you currently do for work? Run your own business or employed?
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Your answer
If you had to express in writing what your intuition is trying to tell what you would you say?
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Your answer
What fears are present with the above answer?
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Your answer
What challenges are you navigating or parts of yourself do you no longer want in your life, bad habits, thoughts, interactions, addictions, obstacles?
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Your answer
Are you a smoker or experiencing addictions to any substances? *
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Your answer
What does the best possible future version of you look like, how do you feel, what thoughts do you have, how do you interact with others, what are you doing?
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Your answer
Whats currently holding you back?
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Your answer
Do you have the capacity to devote a minimum of 2 hours each week to your study to complete modules in time?
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Your answer
Can you commit to being involved in Vidya's in person offerings?
Your answer
Are you in a position to financially pay for your participation in the training?
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Yes
No
Do you have anything else you wish to add?
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