Erotic Healing Application - Passionate Awakenings

Erotic Healing Arts Practitioner Certificate Training Application

Thank you for applying to the practitioner training. All your responses are held in strict confidentiality.

I recommend you copy and save your responses to avoid any possibility of loss.

Full Name

Email

City

State/Province

My gender is:

My sexual preference is:

My biological sex is:

My practitioner gender preference is:

What interests you about this training?

What results you would like:

Tell me a little about your life and work:

Briefly describe your personal growth/spiritual path experience:

Briefly describe your experience with Tantra:

Do you have experience giving erotic healing in some form? What?

Please describe any major trauma or violations and current experience with this:

Have you ever inflicted non-consensual violence or sexual violence?

Anything Else You'd Like Me To Know?

My degree of interest is:

Can you be in Seattle WA Jan 12-14 & 19-21 of 2018?

How you expect to use this training:

My emotional self-responsibility is: (honest)

I practice: (check any that apply)

Tantra Student

Tantra with my Partner(s)

Healing Arts Professional

Tantra or Relationshp Teacher

Sexual or Erotic Services

Provider Mentoring

Something Else

My financial reality is:

Capacity for commitment

How did you hear about David Imiri?