You need Javascript enabled to submit this form. First Name*Last Name*Email *City*Province/State*Are you interested in self-care?*YesNoAre you wanting help with business?*YesNoBio*Briefly describe the interest that inspire you*Core purpose / passion*How long have you been in practice for?*0-2 years2-5 years5-10yrs10-20 yrs20+How many clients do you see in a week*0-20 clients / week20-40 clients / week40-60 clients / week60+ clients / weekOther Education/CertificatesRevenue Goals10-30K more than I am making now20-40K more than I am making now30-50K more than I am making now50-100K75-125K100-150kWhat type of practitioner/person are You? (check all that apply)*I value my personal growth and think it is importantI am new to the holistic world and am looking at skills I can implement relatively quicklyI have always been interested in learning alternative forms of healing to help others.I mostly want to help friends and familyI want to experience what Bowen Therapy can do for me in my own health journeyI want to build a thriving practice with many clients so I can make a difference in my communityI want to add another modality to my clinic so I can reach a broader client baseI love that this training school offers all the support a therapist needs including business and communityI want an effective pain elimination method that is easy on the client and can be used for everyoneI run a successful clinic but know there is more I can add to my practice to help othersI want to travel with Bowen Therapy to second/third world areas of the world to share and help otherI identify as a healer and a passionate health advocateI am looking to possibly be a practitioner in the futureI want to be known for being as effective at eliminating pain and making a difference as other successI am ready to begin my journey to be a practitioner in Bowen Therapy today!What are you looking for most in adding BowenFirst Therapy*What is holding you back from feeling successful? (check all that apply)*I don't have time to dedicate to studyingI don't have the finances to start todayI don't have the support at home and am worried I won't be able to do itI don't have the confidence to take the next stepI don't have anything holding me backWhat is the biggest obstacle you face?*Why do you think you are a good candidate for this program?What message would you like to shareWhy are you interested in learning Bowen Therapy?*I've received a treatment and have discovered Bowen is something I consider part of my true callingI've done my research and I'm ready to start now I just want to know the difference between training facilitiesI'm an already practicing health professional and want to add Bowen Therapy to my repertoireI'm interested in becoming a Bowen Therapist but not sure if I'm a good fitI'm interested in knowing how to help a family member/friendOtherIf you are enrolled in a Payment Plan, it is your responsibility to pay on time:*Yes Financial ResponsibleI certify that the above is true*Submit
