ASE - Application Form — Ed Rooke PhD Workshops & Coaching

Application Form

Please answer the following questions to the best of your ability. Any information you share will be kept strictly confidential and destroyed following the application process.
I will be in touch when booking opens, around 2 months before the workshop to process your application

Name

First Name

Last Name

Phone

(###)

###

####

Time Zone

Why do you think this programme would be a good fit for you?

What would you most like to get from the programme?

Where would you like to be in terms of sexuality, power & confidence?

What currently gets in the way of this?

Please give a brief summary of any workshops, trainings or retreats you have attended?

Do you have a regular meditation/yoga/embodiment practice? If so, please describe what practices you do and how frequently?

Do you have anything else you would like to share or ask about?

Where did you hear about the course?