2018 Authentic Tantra Certification Program Application

Your Name (required)

Your Email (required)

Your Phone Number (required)

Your City, State/Province, Country (required)

Your Time Zone (required)

How did you hear about our Certification Program? (required)

Do you have a referral code?

Please share your age: (required)

What is your gender identity? (required)

How many children do you have? (required)

Are you currently in a relationship? (required)

Are you familiar with Tantra at all? (required)

If so, have you studied with anyone else? (required)

If so, please share who and when.(required)

What inspired you to want to join the Authentic Tantra Certification Program?(required)

Are you certified/trained in any other modalities? If so, which ones? (required)

Are you currently enrolled in or planning to begin any other training or certification programs? If so, please describe.(required)

What experience, if any, do you have with meditation? (required)

Have you reviewed the Program Syllabus that was shared on the website? (required)

If yes, do you feel ready to make the financial and time commitment required for the program? If not, please explain. (required)

Why are you drawn to study Authentic Tantra specifically?(required)

Why are you interested in learning more about sexuality and spirituality? (required)

What areas of your sexuality would you like to awaken or heal the most? (required)

What areas of your life would you like to awaken or heal the most?(required)

How do you think you will feel when these areas are awakened and healed? (required)

On a scale from 1-10, how willing are you to take action right now to realize your goals? (required)

Are there any issues preventing you from taking action right now to meet your goals? If so, what? (required)

Do you feel/believe that we can support you in reaching these "goals"? If so, please share why. (required)

What do you need from us in order to help you realize your desired outcome? (required)

Thank you so much for taking the time to answer these questions. Is there anything else you would like to share with us?

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