Foundation Training application

Name *
Name
Address *
Address
Phone *
Phone
Married, partner, children, etc.
Include degree/certificate, completion date & length of training (hours/months/years)
Including course name, length & hours of tuition
Include course name, length & hours of tuition
e.g., association registration, etc.
Years in practice, number of clients per week, specialties, etc.
Prescribed & recreational drugs, including alcohol, amount per week
Physical illnesses, accidents, falls, etc.
Psychiatric, psychological processes that affected your functioning or well-being
For physical or psychological reasons
Any known details, any relevant history
Your experience as a client to date, approximate number of sessions taken, any experience of Biodynamic Craniosacral Therapy?, etc.